Question Title

* 1. Full Name

Question Title

* 2. Age

Question Title

* 3. City

Question Title

* 4. ZipCode

Question Title

* 5. Email

Question Title

* 6. SMS/Text Number

Question Title

* 7. How many children do you have?

Question Title

* 8. What are their ages?

Question Title

* 9. What does being a father mean to you?

Question Title

* 10. Share one of your proudest moments as a father.

Question Title

* 11. Describe a typical day in your life as a dad.

Question Title

* 12. What’s one lesson you always try to teach your children?

Question Title

* 13. What advice do you have for new dads?

Question Title

* 14. How do you support your own emotional, physical, or spiritual health?

Question Title

* 15. How do you support your community?

Question Title

* 16. Who is a father figure that inspires you and why?

Question Title

* 17. Favorite meal to cook (or eat) with your children?

Question Title

* 18. Upload a favorite photo of you and your kids.

Question Title

* 19. Upload a short 30–60 second video: “What Fatherhood Means to Me”

Question Title

* 20. Do you give United And Guided permission to publicly share your responses, photos, and/or video for the “Black Dad of the Month” campaign?

T