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* 1. How old is your youngest child?

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* 2. What’s your #1 single biggest challenge in life as a mom right now?
Please be as detailed and specific as possible. (Please go beyond saying “time” or “no sleep.” The more specific and detailed you are, the more likely we can cover these topics and may be able to help you!)

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* 3. Which of the following best describes your youngest child’s feeding situation?

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* 4. How many children do you have?

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* 5. Which of the following best describes your work situation?

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* 6. What is your age?

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