The people living it, telling it.

Request a seat at the table

A recorded roundtable with our Anchor Mom Advisors on Pulse Check 2026

Thank you for your interest in joining our Anchor Mom Advisors for a recorded roundtable on Pulse Check 2026, a study of mothers' views on child and family wellbeing. Seats are limited, and submitting this form does not guarantee a seat. We read every response and will be in touch either way.

Questions? Reach out to us at research@countonmothers.org.

About you

Full name (required)

Email (required)

State (required)

Ages of your children (select all that apply)

Expecting 0 to 2 3 to 5 6 to 9 10 to 12 13 to 15 16 to 18 Over 18

Tell us a little about yourself and your family (required) Two or three sentences is plenty.

The roundtable will discuss findings on child and family wellbeing. What is one thing you would want the people making decisions about families to understand? (required)

Recording consent

I consent to being recorded on video, and to Count on Mothers editing and sharing the recording, in full or in clips, on its website, social channels, newsletter, and materials. I understand my first name and state may appear on screen. I consent to Count on Mothers research partners, including our founding member Inseparable, using the recording and clips in their own publications and materials, with my appearance credited as a Count on Mothers roundtable participant.

If you prefer a different on-screen name, tell us here (optional)

We read every response. Selected participants will hear from us before the roundtable, and everyone will receive the recording when it is published.