Movies For Mommies

Survey

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We Value Your Feedback

Movies For Mommies is your event. It’s a few hours for you to enjoy – as such we welcome your creativity to help us program movies, speakers, and giveaways that you and your Little Film Critics will benefit by.

We appreciate any additional information you can provide us about yourself. The more we understand who our patrons are, the better we can meet your needs and create the best event possible. We thank you in advance for your thoughts and suggestions!

Parent's Name:
Parent's Age:
Baby's Name:
Baby's Age:
Are you a first time parent:	Yes No
Email Address:
How did you hear about MFM:	Specify:

Have you attended Movies For Mommies:	Yes No
If yes, How frequently:
Which Location (Primary):
Primary reason for choosing that location:
Secondary reason for choosing that location:

Main reason for attending Movies For Mommies:	Specify:
Favorite type of movie:	Specify:

What do you like best about Movies For Mommies:
Movies For Mommies would be even better if:

I would like to receive a Movies For Mommies Newsletter

I would like to receive pertinent information or promotional coupons for baby products/services

Additional programming you'd like to see from Movies For Mommies:	Specify:
Parenting resources you read:	Specify:
Parent / baby activities you attend:	Mommy Baby Fitness Specify: Gymboree Mommy baby music Specify: Postnatal Class Specify: Baby Yoga Specify: Parent infant Drop-in Specify: Baby Swimming Specify: Library Program Specify: Other Specify:

Which is your diaper of preference:	Specify:
What vehicle do you drive:	Specify:
Your child's baby-food of preference: