* 1. The following best describes where I am at in my process of separation and divorce...

* 2. What is your gender?

* 3. Please specify the number of children you have

* 4. My work status over the past 10 years is best described as...

* 5. I most often worry about...

* 6. The hardest thing for me has been....

* 7. The thing(s) that make me the saddest are...

* 8. I am legally divorcing/ed in the following manner

* 9. Our divorce is best described as:

* 10. My ex or soon to be ex is best described as...

* 11. Who decided to divorce?

* 12. Was an infidelity part of what affected the end of your marriage or long-term relationship?

* 13. My go to self-coping strategy is...

* 14. My Self-Care Practices include...

ALMOST DONE...The Mother Rising Manifesto is almost in your hands!

* 15. I generally get the following number of hours of sleep, and specify also if it is broken or sound...

* 16. I have a practice of self reflection that I tend to...

* 17. My practice of quiet reflection usually lasts for...

* 18. I like using the following practices to move me along on my journey...

* 19. What best describes what I am most excited about is...

* 20. The best email address to reach me for updates is...

Woo hoo! You are on your way to RISING! You should be directed upon completion to a link for viewing your very own copy of 7 Strategies Of Self-Care During Divorce! Thank you for taking the survey!

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