General Information :: Tell Us About You!

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We'd love to know a little more about you to give us a better idea of who our audience is! To help us get to know you, please answer the following questions. Answers will be kept confidential!

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* 1. Email

You must include your email address if you want to be in the running for to win one of four $50 gift cards to Amazon! And if you haven't already subscribed, we will be sure to include you in our free weekly newsletter so you don't miss out on the latest Dallas Moms resources and events too.

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* 2. What city in the Dallas-Fort Worth Metroplex do you currently live in?
(Please select "Other" if none of the listed.)

  Dallas County Collin County Kaufman County Denton County
I Live In. . .

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* 3. How old are you?

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* 4. Which of the following best describes your current relationship status?

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* 5. What is your ethnicity? (Please select all that apply.)

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* 6. How many children do you currently have?

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* 7. OPTIONAL: Are you grandparent? If so, are you a caregiver for your grandchildren?

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* 8. How old are your children (or grandchildren)?
(Select All That Apply)

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* 9. Are you currently pregnant or planning to get pregnant in the coming year?

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* 10. What is the highest level of education you have completed?

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* 11. Which of the following describes your employment status?

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