Family Equality Council: Survey

Family Friday

Family Equality Council is pleased to be partnering with the Huffington Post Gay Voices on it's Family Friday feature. Sign up to participate by filling in some basic information about your family in the form below. We will then contact you to follow up!

1.

Question - Not Required - How many members are in your family?

2.

What is your relationship status?

(Select one of the available choices or enter a different value.)
Question - Not Required -

3.

Question - Not Required - How many children are in your family?

4.

Question - Not Required - What are the names of the children in your family?

5.

Question - Not Required - What are the names of the parents in your family?

6.

Question - Not Required - If applicable, how long have you been together?

7.

Question - Not Required - How did you form your family? (Example: Adoption, Foster, Surrogacy, etc.)

8.

Question - Not Required - Tell us your favorite memory that you've made with you family so far.

9.

Please provide contact information so that we can follow up and find out more about your family!

*

Name:

First Required	Last Required

*

Email: Required

*

City/State/ZIP:

City Required	State Required	ZIP Required

Phone Number:

Yes, I would like to receive e-mail from Family Equality Council

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Please click here to submit a family picture!