SMA Listening Campaign 2021-Lone Mothers in BC (Registration for One-On-One Session)
Thank you for registering for a one-on-one listening session. You will be contacted by a SMA staff to confirm your session. All responses and results will be anonymized. We look forward to connecting with you.
Email *
Name *
Address (Include City/Town, Province, Postal Code) *
Phone *
Email Address *
Number of Children and Ages *
Do you have lived experience of lone-motherhood in the past and/or present? *
Best way to get in contact with you to book a listening session: *
A one-on-one listening session will take likely 30-45 minutes. No in-person meetings permitted due to high COVID-19 transmission risk at this time . What is your preferred form of listening session meeting? *
If you answered "Other Platform" above, please indicate which Platform
One-on-one listening sessions will be held throughout the month of May. Thank you for letting us know the best time for you to participate in a session: *
Please add any notes regarding further information about scheduling and any other supports needed to participate.
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This form was created inside of Single Mothers' Alliance of BC Society.