Secret Moms Club Questionaire
Name
Name on Pregnancy Weekly
Email Address
Address
First Child?
Yes
No
Due Date
Boy or Girl
Girl
Boy
Don't Know
Not finding out
How Many Children do you have?
1
2
3
4
5
more than 5
Children's Names
Theme or Colors for the Baby's Room
Where are you registered?
Walmart
Target
Babies-R-Us
Meyers
Other
Significant Other's Name
Likes
Dislikes
About You
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