Hi there. Thank you for your interest in our project featuring parents and their babies who are hearing impaired.

As part of this project, we are seeking parents and their babies to participate in a video project about a sensory innovation device designed for infants. If selected, participants will be asked to try the device on the filming day and share their experience on camera in Brooklyn, NY.

Please fill out the survey below ASAP. It should only take a few minutes. Once submitted, you may be contacted by a GENUINE Casting Team member for a follow-up video interview to be viewed by our team and clients.

If you experience difficulty taking this survey or have questions about the project, please contact GENUINE at  recruiting@genuinerp.com

If you have any questions about the information you provide to us, you can read GENUINE's Privacy Policy.

Okay, let's get started!

We'd like to learn more about you, so tell us a little about yourself.

During this survey, we will be asking you about your medical history/health as it relates to your baby's hearing diagnosis. Please select "I agree" below if you are willing to share information about your baby's health as it relates to your diagnosis for the purposes of recruiting for this project.

MEDICAL CONDITIONS

Subject to your agreement to the waiver below, please share information regarding any medical conditions that you may have and are comfortable discussing publicly for potential projects. You acknowledge and understand that your personal health information may be protected from disclosure by the Health Insurance Portability and Accountability Act ("HIPAA") and other privacy laws. By selecting, "I agree" below, you consent to GENUINE electronically storing the personal health information that you disclose and reviewing it for purposes of contacting you about future projects for which you may be suited.

Now we'd like to learn about your baby's hearing diagnosis

Thank you so much. Just a few more questions and you'll be done.

GENUINE is always looking for people to share their stories and appear in paid advertising campaigns for major brands including American Express, Chipotle, and Walmart to mention a few.

If you would like to hear about our latest casting opportunities, join GENUINE's mailing list.

YOU ONLY NEED TO REGISTER ONCE, so if you receive our emails, please check, "I am already on the GENUINE Mailing List".  Thank you!

Thank you so much for taking the time to answer all of our questions.

 Please click on the "Submit" button to complete your survey.