Registration of Interest: Motherhood and Leadership Focus Groups
Thank you for expressing an interest in this research.

This form is to capture your contact details, as well as preferences on location and timing of focus group sessions, and any child care requirements. We also want to double check that you meet the criteria for this research.

It will only take a couple of minutes.
Name *
Email *
Phone number
How old is your youngest child? *
What kind of 'leader' are you? *
Required
Where would it be most convenient for you to attend a focus group? e.g. what city or suburb? *
What time of day would work best for you? (tick as many as apply) *
Required
What day of the week would work best for you? (tick as many as apply) *
Required
Do you need child-care? If yes, please put how many children and what age they are.
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