Mommies Clique - Delivering the Word of Mom!

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For us to match you up with the right products and services, we need some information about you. We want to be sure we send you things of interest, so that’s why we’re asking the following questions.

* all fields required

Name
Email address
Snail mail address (so we can send you things)
Phone number
What is your age?
25 or under 26 or 40 41 or 55 56 or above
What is your highest level of education?
High school or equivalent Vocational/Technical School (2 year) Some college Bachelor's degree Master's degree Doctoral degree Professional degree (MD, JD, etc.)
What is your employment status?
Stay at home mom Not employed Employed part-time Employed full-time Self-employed More than one job
What is your profession?
What is your marital status?
Divorced Living with another Married Separated Single Widowed Would rather not say
Where do you currently reside?
Atlanta Boston Chicago Denver Houston Kansas City Los Angles Miami New York City San Francisco Washington D.C. Other
What is your current household income?
Under $10,000 $10,000 – 19,999 $20,000 – $29,999 $30,000 – $39,999 $40,000 - $49,999 $50,000 – $74,999 $75,000 - $99,999 $100,000 - $150,000 Over $150,000 Would rather not say
How would you classify yourself?
Arab Asian/Pacific Islander Black Caucasian/White Hispanic Indigenous or Aboriginal Latino Multiracial Would rather not say Other
How many children under 16 years old live in your household?
None 1 2 3 4 or more
Age of kids?
1 or below 1 – 3 4 – 6 7 – 9 10 – 12 13 – 15 16 and above
Have you had a marketing comunications job in the past?
Yes No
If so, what was your position?
Do you have a blog?
Yes No
If so, what is the URL?
What social media sites are you involved in?
Bebo CafeMom Del.icio.us Digg Facebook FeedBurner Flickr FriendFeed Jaiku LinkedIn Mag.nolia MySpace Ning Picasa Reddit StumbleUpon Technorati Truemors Twitter Yelp YouTube Other:
Where do you fit?
Which of the three choices would best describe you?
Marketing Mom (Communications/Marketing/PR experience) Digital Mom (Online – Blogging experience) Word of Mouth Mom ( PTA, Book Club, Playground experience)

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Where do you fit?