Strong Single Mom Network - Free Product Survey
Required Required Question(s)
Required 1.

Through the Strong Single Mom Network, you are going to be given exclusive access to Shwaag, a website that gives away FREE stuff.  You will be asked to create a profile, but no credit card information is required, and any identifying information is kept confidential.  Will you take advantage of this program?
Absolutely! I can't wait!
Most likely. It depends on a few things.
Possibly. I'm not sure I have time.
I suppose. But there HAS to be strings attached, right?
No way.
Other  
Required 2.

Through Shwaag, you could have the opportunity to receive free products and services because of who you are...Shwaag Celebrates the Celebrity in You!  Rate the answer to the following question -  "I would like Free Stuff to:"
 Not at all Probably Not Maybe Probably Absolutely! 
Keep for myself
Give to others I know
Give to others I don't know (Random Acts of Kindess)
Give to Charities I Love
  • Comment:

  • 500 characters left.
Required 3.

What items/products would you be most interested in receiving for free?  Rate the following, and feel free to add your own suggetions, too!
 Don't want it at all! Don't really like it Could go either way Really like it. HAVE to have it! 
Fashion Accessories (sunglasses, jewelry, purses, etc)
Cosmetics
Spa Products
Health and Wellness
Kids' Toys and Games
Baby Items
Consumer Electronics
Restaurant Gift Cards
Household Appliances
Discount Cards/Coupons
  • Comment:

  • 500 characters left.
Required 4.

Are there any specific brands and/or specific items from the above list would you like to see offered through Shwaag?
 

  • 350 characters left.


Now, tell us more about the Celebrity Within You!
 
Required 5.

How often do you access the internet for personal use?
Several times per day
Once per day
Weekly (3-5 times per week)
Weekly (1-2 times per week)
Less than once per week
Other  
  • Comment:

  • 500 characters left.
Required 6.

What is your relationship with the Strong Single Mom Network?
I am a Strong Single Mom Member!
I am a Strong Single Mom, but haven't registered my membership yet
I am an official Supportive Business Partner of the Strong Single Mom Network
I an an unofficial Supporter of the Strong Single Mom Network, and am interested in becoming a Supportive Business Partner
I'm not a Single Mom, but I admire what Single Moms accomplish on a daily basis
Other  
  • Comment:

  • 500 characters left.
Required 7.

As a Strong Single Mom, tell us about your kids.  How many do you have, what are their ages, what do they like, etc.  Now's your time to brag, Mommy!!
 

  • 350 characters left.
8.
Which of the following includes your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
9.

Woohoo!  Free form comments...feel free to tell us anything that is on your mind! (limited to 350 characters)
 

  • 350 characters left.
10.

Yes!  I would love to receive my Exclusive Invitation for Shwaag!  I want to have the chance to receive free stuff, just for being who I am.  (In order to send you the invitation, SSMN needs the following information.  This information is to receive your code for Shwaag.  Once we send the code, you will need to activate it on the Shwaag.com website)
First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Address 2:
City:
State/Province
(US/Canada):
Postal Code: