Help Me Build My Site for You Survey
This survey is for adult lesbian women

Why take my survey? To help me find a way to serve you, a m­em­­­ber of a group totally ignored by retailers: Strong, confident, intelligent, mature women not interested in pumps! 

I want to provide you with your essentials. I’m ­searching for the right choices—choices that serve our greatest health and well being. Please share with me the good things you’ve discovered. It is my vision to know and serve my lesbian community in pursuit of health, happiness and community. Your information and feedback is appreciated. You’ll receive a free gift with all returned surveys! If any question makes you uncomforable, skip it. Thanks!
 

Name *
E-mail Address *
Are you, or have you ever been, in love?
Are you single or in a committed relationship?
Do you have children?
Do you have pets?
What do you most enjoy doing?
What is the most challenging part of your life?
Are you healthy?
Is everyone in your family healthy?
Do you enjoy shopping?
What is your favorite thing to wear?
What is the thing you most dislike having to go shopping for?
How do you connect with your community?
What is your essential kit?
What are your favorite lesbian movies?
What are your favorite lesbian books?
Who are your favorite lesbian musicians?
What non-profits or other organizations would you recommend I give back through?
Do you have any other insites you would like to share with me?
Mailing address (To receive your free gift for helping me out.)

* Fields marked with an asterisk are required fields

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