The Matriarch
Millennial Mothers
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City, State
*
Age
*
What year were you born?
*
How many children do you have?
Please Select
1
2
3
4
5
In a few sentences, how would you describe your experiences as a mother?
*
What is one thing motherhood has taught you about yourself?
*
How was it adjusting to motherhood and your responsibilities?
*
Are you open to being interviewed?
*
Yes
No
Are you comfortable being photographed or recorded?
*
Yes
No
Maybe
Upload a photo of yourself/your family (if you’re comfortable)
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