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MOMNetwork Survey 2020-21
2020 has hit women, specifically MOMs hardest since Covid. As we prepare for 2021 we wanted to reach out to you and see how we could best serve you in the upcoming year.
Reach out to us on social media - @momnetworkusa or
www.momnetworkusa.com
703-594-7149
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* Indicates required question
Email
*
Your email
Name (first and last name)
*
Your answer
Phone Number
Your answer
Best time to call
Your answer
Zip Code
Your answer
Which activities did you or your family member participate in this year?
*
MOM of the Month
Honoring Role Model
Virtual Circle
Peri and Paint
Giveaways
Job Shadowing
Black Muslim Check-In
Junior Achievement Programs
Coach Fatimah
Workout Wednesday
Other:
Required
Are you a MOMNetwork member
*
yes
no
I'm interested, tell me more
If yes, Why did you join MOMNetwork?
Your answer
Would you refer another MOM to be a Member
*
Yes
No
How do you get your information
*
Facebook
Instagram
Whatsapp
Twitter
Linkedln
Email
Text
Other:
Required
Your strengths (i.e skill sets, career, degrees, certifications, etc.)
*
Your answer
Favorite activities / hobbies
*
Your answer
Status
*
Never Married
Single (i.e. widow, divorce)
Married
Other:
Age
*
Under 21
21-35
Over 35
Number of Children
*
N/A
1
2
3
4
More than 5
Topics or areas you would like to learn more about
*
Childcare
Mental Health (i.e. including depression, stress management, self esteem)
Parenting Skills
Child Development
Relationship Building (i.e.Healthy Relationships, Building connections/friendships, Communication with significant other)
Nutrition
Time Management
Money Management (i.e. Budgeting, Improving Credit, Saving, Purchasing House)
Deen ( Halaqa, Learning Arabic)
Other
Other:
Required
Option 1
Clear selection
What are some areas you would like to improve in as a woman and/or mother?
Your answer
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