Novel Moms (working title) - Potential Interviewee Questionnaire 
Questions? Email ash.thax.stevenson@gmail.com 
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Name *
Pronouns
Email Address *
Phone Number
Do you identify as an American mom who reads romance? *
Where do you currently live? *
What are the age(s) of your child(ren)?
What's the best way to get in touch with you to schedule an interview? *
How did you find out about this project? *
Do you have any questions for me or things you'd like to share at this time?
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