Moms Who Lead With Love Member Engagement Survey

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* 1. What is your full name? (First and Last)

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* 2. What is your email address?

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* 3. What is your location? (City, State)

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* 4. What is your ethnicity?

Hispanic or Latino or Spanish Origin

Not Hispanic or Latino or Spanish Origin

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* 5. What is your race?

American Indian or Alaska Native

Asian or Asian American

Black or African American

Native Hawaiian or other Pacific Islander

White

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* 6. How many kids do you have?

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* 7. How old are they?

1-3

4-6

7-10

11-13

14-17

18+

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* 8. What level of engagement are you currently interested in? (Multiple selections available)

I am interested in contributing financially.

I am interested in participating in a committee.

I am interested in joining and participating in a local chapter of Moms Who Lead With Love, should they be created.

Moms Who Lead With Love Member Engagement Survey

Question Title

* 1. What is your full name? (First and Last)

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* 2. What is your email address?

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* 3. What is your location? (City, State)

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* 4. What is your ethnicity?

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* 5. What is your race?

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* 6. How many kids do you have?

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* 7. How old are they?

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* 8. What level of engagement are you currently interested in? (Multiple selections available)

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* 9. Please list any skills or talent you’d be interested in offering to MWLWL.