ARE YOU A MOTHER WITH A PHYSICAL DISABILITY? 
DO YOU HAVE AT LEAST ONE CHILD 3 YEARS OF AGE OR YOUNGER?
 
Through the Looking Glass and The National Center for Parents with Disabilities 
and their Families is conducting a national survey of mothers with physical 
disabilities who have at least one child 36 months of age or younger. You must 
be 18 years of age or older. Eligible participants who complete the survey will 
have a chance to win a $250 gift certificate. The Deadline for completing the 
survey is DECEMBER 17, 2012.
 
Most mothers – with or without disabilities – get some help from others in 
caring for their child. Occasional or regular assistance may come from a 
spouse, partner, older child, relative, friend, neighbor or paid assistant. 
Some assistance may be limited only to certain tasks, while other assistance 
may cover a wide range of child care. There is very little research to find out 
how mothers with physical disabilities manage routine child care tasks. Are 
certain child care tasks more challenging because of a physical disability? How 
satisfied are mothers with physical disabilities about the kind and amount of 
child care assistance they are getting? Is it enough? Too much? 
This survey is anonymous. No names or other identifying information will be 
asked. 
 
If you are a mother with a disability who has at least one child 36 months of 
age or younger, please go to this link: http://www.surveymonkey.com/s/TZSMWZ5
If you prefer,you can request a survey be mailed to you. Call us (800-644-2666) 
or send us your name and address, and we will mail you the survey along with a 
prepaid return envelope. Send to: Through the Looking Glass 3075 Adeline 
Street, Suite 120 Berkeley, CA 94703
 
More Questions?
You can go to our website http://www.lookingglass.org/ and you can also look 
over our FAQ page regarding this study on our website: 
http://www.lookingglass.org/
Or, you can call us or email us:1-800-644-2666 ext. 8176 or 
[email protected]
 
Thank you,
Through the Looking Glass
The National Center for Parents with Disabilities and their Families
2198 Sixth Street, Suite 100
Berkeley, CA 94710
 
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