Monthly Lunch Meetup

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Please take the time to fill out this quick survey to help us serve your needs better!

Name

Please select one of the following:

Age range 20-30

Age range 31-40

Age range 41-50

Age range 51-60

60+

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What location would work best for a lunch meetup?

Burlington- Downtown

Burlington- North End

Colchester

Essex

Shelburne

South Burlington- Dorset St.

South Burlington- Shelburne Rd

Williston

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Can you tell us a little about yourself so that we can match you up with other ladies? Check all that apply.

I work professionally

I am a stay-at-home mom

I am a grandmother

I am a single mom

I am single with no children

I am an empty nester

What interests you (check all that apply)

Art

Music

Outdoor Activities

Fitness

Reading

Cooking

Do you attend Essex Alliance Church?

Yes

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Would you consider being a host - we need one for each group even if you meet at a restaurant!

Yes

Maybe

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Comments or anything else you want us to know?

Submit

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