* 1. Which time of the week works best for your schedule when attending an event or outing? (Choose 1)

* 2. Which of the following events best interest you? (Choose 1.)

* 3. Which of the following would you like to see or experience at an event. (Select all those that apply)

* 4. If you attended an event that catered to you and your relationship with your mother, what topics of interest would you want it to cover?

* 5. Do you feel that you can talk to your mother about anything? If not, why and what things can you NOT talk to her about?

* 6. Do you feel your bond with your mother could be made stronger? If yes, in what ways?

* 7. Do you feel your mother understands you? If not why?

* 8. Do you feel your mother allows you to be yourself? If no, describe how.

* 9. Do you feel your mother respects you enough? If not, in what ways?

* 10. If there were a mother/daughter seminar available to help improve the mother/daughter relationship, would you attend?

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