Career Care Moms Survey
Help us understand your motherhood journey, career interests, and what support you need to enter or advance in the workforce. The Nu You Inc is excited to launch this program in 2027.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Zip Code
What stage of motherhood best describes you right now?
*
Please Select
Pregnant, expecting my first child
Pregnant, expecting another child
New mom (baby under 1 year)
Mom of young children (ages 1–5)
Mom of school-age children (ages 6–12)
Mom of teenagers (ages 13–18)
Mom of adult children
Other (please specify)
How many children do you currently have?
*
Please Select
None yet (expecting)
1
2
3
4 or more
What is your current employment status?
*
Please Select
Not currently working
Working part-time
Working full-time
Self-employed / running my own business
In school or job training
Other (please specify)
What careers or industries are you most interested in? (Select all that apply)
*
Healthcare (CNA, medical assistant, nursing, etc.)
Childcare / Early childhood education
Administrative / Office support
Customer service / Call center
Retail / Food service
Hospitality (hotels, events, etc.)
Education / Schools
Trades (construction, electrical, plumbing, etc.)
Government / Public service
Nonprofit / Community work
Entrepreneurship / Starting my own business
Other (please specify)
What annual salary would you like to earn?
*
What is your highest level of education or training completed?
*
Please Select
Some high school
High school diploma / GED
Some college
Associate degree
Bachelor's degree
Graduate degree
Trade school / Certification
What is the biggest barrier keeping you from working or advancing your career right now? (Select all that apply)
*
Childcare access or cost
Transportation
Flexible scheduling
Lack of job training or certification
Confidence or work experience gaps
Health or disability challenges
Housing instability
Criminal record
Other (please specify)
What type of work schedule works best for you?
*
Please Select
Full-time, traditional hours (9–5)
Part-time
Evenings/nights
Weekends only
Remote/work-from-home
A mix of in-person and remote
Would you be interested in job training, certification programs, or workshops through this program?
*
Please Select
Yes, definitely
Maybe, depends on the program
No, not right now
Is there anything else you'd like us to know about your career goals or what support would help you most?
Submit
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