MOMS Club of Tarzana Survey
(For new and existing members): Please fill out online or, if preferred, print and send to: Melinda, President

We would like to ensure that we are tailoring our activities, events and “support” around the needs of our members as much as possible. We would greatly appreciate you taking a few minutes to provide us with some feedback. Many thanks!

Name:

Email:

Name(s) & Age(s) of children:

1. Reason(s) for joining (or being a part of) MOMS Club (please check all that apply):
Camaraderie/commiseration with other Stay-at-home-Moms
Socialization of/for children
Other: 

2. On a scale of 1-10, what level of involvement would you ideally hope to have?
1 = I have many other friends with kids and just want a little more involvement with the community
10 = I am hopeful I can connect with other moms to see regularly and possibly become lifelong friends
1  2  3  4  5  6  7  8  9  10  

3. Please rate each of the following activities by the following:
Yes = would love to participate and willing to make changes and sacrifices to existing schedule, etc. to be able to participate
Hopefully = would like to participate and will do what I can to make it without making too many sacrifices
Maybe = it sounds fun only if timing and such work out
No = no interest or ability
Weekly PlaygroupsYes  Hopefully  Maybe  No  
   Rotate homes and/or other venues each week to get together with other moms with kids the same age as your own.
Mom's Night Out/In (in general)Yes  Hopefully  Maybe  No  
   The only events with no kids! Everything from crafting nights to movie nights (home and theater) to casual coffee dates and holiday get-togethers
   Crafts NightYes  Hopefully  Maybe  No  
   Out for Coffee or DessertYes  Hopefully  Maybe  No  
   Movie (at member's house)Yes  Hopefully  Maybe  No  
   Movie (theater)Yes  Hopefully  Maybe  No  
   Game NightYes  Hopefully  Maybe  No  
   Recipe ExchangeYes  Hopefully  Maybe  No  
   Chocolate StudioYes  Hopefully  Maybe  No  
   Preschool ForumYes  Hopefully  Maybe  No  
   Discussion GroupsYes  Hopefully  Maybe  No  
   Book Club (parenting books)Yes  Hopefully  Maybe  No  
   Book Club (pleasure reads)Yes  Hopefully  Maybe  No  
   Other Ideas:  
Breakfast ClubYes  Hopefully  Maybe  No  
   Monthly get-together at a restaurant or member’s home to share in coffee, breakfast treats and conversation
Music & MovementYes  Hopefully  Maybe  No  
   Get together with other members to sing/play instruments/dance, etc.
General MeetingsYes  Hopefully  Maybe  No  
   Monthly meeting to discuss past and future events and share in conversation and play with members of all stages
Becoming a Board MemberYes  Hopefully  Maybe  No  
  
All Ages Park DayYes  Hopefully  Maybe  No  
  
Beach DayYes  Hopefully  Maybe  No  
  
Weekend/Holiday EventsYes  Hopefully  Maybe  No  
  
Exercise ClubYes  Hopefully  Maybe  No  
   Meet with other members to walk or jog or do a “circuit” training or other type of exercise (with kids in tow)
Discussion ForumYes  Hopefully  Maybe  No  
   Meet with other members to discuss a predetermined topic (i.e. sleeping, teething, tantrums, preschool, etc.) amongst each other; and/or share concerns/questions/issues/milestones
Babysitting Co-opYes  Hopefully  Maybe  No  
  
Other Ideas:
  

4. Availability: Please let us know (in general) the best times for planning activities, and times you will definitely not be available.
Please give us a general idea for each day of the week (Sunday-Saturday) from 8am-8pm based on your availability come September.
As we are all moms, we understand that schedules of babies/toddlers/young children are ever-changing, but the more times you can give us, the better we can be at scheduling activities. Feel free to specify each child's availability separately (for instance if one is in school and another is not).
  

5. Any other feedback?