REDgen Parent Wellness Circles Parent Information Question Title * 1. Name: Question Title * 2. Email address: Question Title * 3. Where do you live in the Milwaukee area? Brookfield Downtown Milwaukee Elm Grove Glendale Greenfield Shorewood St. Francis Wauwatosa West Allis West Milwaukee Whitefish Bay Other (please specify) Question Title * 4. Which times of the week are you available to meet? (Please check all that apply.) Sun. Mon. Tues. Wed. Thurs. Fri. Sat. Morning (8 AM - 12 PM) Morning (8 AM - 12 PM) Sun. Morning (8 AM - 12 PM) Mon. Morning (8 AM - 12 PM) Tues. Morning (8 AM - 12 PM) Wed. Morning (8 AM - 12 PM) Thurs. Morning (8 AM - 12 PM) Fri. Morning (8 AM - 12 PM) Sat. Afternoon (12 PM - 6 PM) Afternoon (12 PM - 6 PM) Sun. Afternoon (12 PM - 6 PM) Mon. Afternoon (12 PM - 6 PM) Tues. Afternoon (12 PM - 6 PM) Wed. Afternoon (12 PM - 6 PM) Thurs. Afternoon (12 PM - 6 PM) Fri. Afternoon (12 PM - 6 PM) Sat. Evening (6 PM - 9 PM) Evening (6 PM - 9 PM) Sun. Evening (6 PM - 9 PM) Mon. Evening (6 PM - 9 PM) Tues. Evening (6 PM - 9 PM) Wed. Evening (6 PM - 9 PM) Thurs. Evening (6 PM - 9 PM) Fri. Evening (6 PM - 9 PM) Sat. Late Evening (9 PM - 11 PM) Late Evening (9 PM - 11 PM) Sun. Late Evening (9 PM - 11 PM) Mon. Late Evening (9 PM - 11 PM) Tues. Late Evening (9 PM - 11 PM) Wed. Late Evening (9 PM - 11 PM) Thurs. Late Evening (9 PM - 11 PM) Fri. Late Evening (9 PM - 11 PM) Sat. Question Title * 5. Would you be interested in attending online/video conference parent wellness circles? Yes No No preference Question Title * 6. Would you be willing to lead small parent wellness circles after a brief training? Yes No Question Title * 7. Please indicate any special interests or topics you would like to discuss in your parent wellness circles. Question Title * 8. What ages are your children? Question Title * 9. Questions/Comments: Done