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W2W Demographic Survey

Thank you for taking your time to help us get to know you better!

Your Name and Contact Information
Please ensure we have your correct contact information
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Please check all of the boxes that apply. Thank you!
W2W, or Woman to Woman Kentuckiana, is a sister organization to Woman Within International. Please select all of the below that apply to you or that you have completed:

Please provide details

If you are no longer participating in W2W or Woman Within, we would love to understand why. We invite you to share any feedback or circumstance for us to consider.
Demographic Information
Woman to Woman Kentuckiana has dedicated 2021 to ensuring we provide a safe space for everyone, and we’ve invested significant resources to understand how we can improve here. Please help us by providing the information below so that we can understand who we currently are so that we can make sure that anyone, regardless of differing statuses, will feel welcome, heard, and held with us.
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