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What is your age bracket?
 
Under 20
 
Between 20-27
 
Between 28-35
 
Between 36-43
 
Between 44-51
 
Over 51
 
 
 
How many children do you have?
   
 
 
 
What are the ages of your children? (Select all that apply)
 
Under 1 yr
 
Between 1-5
 
Between 6-12
 
Between 13-18
 
Between 19-27
 
Older

 
 
 
Are you religious?
 
Not at all
 
I belong to a faith but do not practice
 
Somewhat
 
Very active in my faith
 
Other
 
 
 
 
How influential is religion in the upbringing of your child or children?
 
Not at all
 
Somewhat
 
Quite a bit
 
Hugely influential
 
Other
 
 
 
 
What nationality/ethnicity do you most closely identify with?
   
 
 
 
What aspects of motherhood do you find most easy?
   
 
 
 
What aspects of motherhood do find most challenging?
   
 
 
 
What are the most important lessons you want to impart to your children? List as many as you feel passionately about.
   
 
 
 
What are your greatest fears for your children?