SMILE is exploring the possibility of offering a Co-Parenting Relationship Wellness Workshop for mothers who are separated, divorced, or parenting outside of marriage. Your feedback will help us design a program that best meets your needs.

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* 1. Are you currently in a co-parenting situation?

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* 2. How interested would you be in attending a Co-Parenting Relationship Wellness Workshop?

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* 3. What topics would be most helpful for you? (Select all that apply)

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* 4. What challenges do you currently face in co-parenting?

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* 5. What format would you prefer for this workshop?

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* 6. What days/times are generally best for you?

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* 7. What might prevent you from attending? (Check all that apply)

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* 8. Would you like to receive more information if this workshop is offered?

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* 9. SMILE Mother Name:

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