Hello!  Thank you so much for taking 3 quick minutes to tell us how Girl ImPowered can help you and your daughter gain confidence.  The questions are for both Moms and daughters.  Your name will be instantly entered to win a $50 Visa card.  There will be MULTIPLE winners so your odds are GREAT!  

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* 1. Do you have any daughters between the ages 12-17?

First a few questions about your daughter...

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* 2. Has your daughter ever participated in any activities outside school? Check all that apply.

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* 3. What are your daughter's biggest struggles? Check all that apply.