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Moms who have taken this survey shared with us that they found it a rewarding opportunity for self reflection and inspiration. Your participation and responses are completely anonymous unless you choose to share your contact information at the end of the survey.

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* 1. What is the number one challenge you have as a mom?

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* 2. What is the number one challenge you have as a woman?

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* 3. What is the age of your child/children?

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* 4. If you had a magic wand, what is...

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* 5. Moms represent 85% of purchasing power in the United States. Moms are also powerful role models for their children and influential among their peers. Please RANK the following, from Most Important to Least Important, in terms of how you would like to use your influence:

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* 6. What do you want?

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* 7. What do you need?

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* 8. What do you feel?

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* 9. Check all that you are interested in:

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* 10. Please share Momfluentials updates and opportunities with me.

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