What Can MUMS^TM Do For you?

We need your input to improve the MUMS^TM program. Please take a few moments to print this form, fill it out, and mail it back to us at:

Bert Brown
PS Executive Centers
8425 Woodfield Crossing Blvd., Ste. 100
Indianapolis, IN 46240

MUMS^TM
Mothers United Mission for Sons

1. What would you like to gain from MUMS^TM

2. What topics/challenges/opportunities/initiatives would you like MUMS^TM to focus on?
(i.e., buddy systems, mentoring, techniques, discipline, communication)

3. Are you interested in attending a MUMS^TM Retreat in your area or region?

4. Would you support and participate in a MUMS^TM National Fund-Raiser? Ideas?

5. What would you like to see or have available to you through the MUMS^TM website?
(newsletter, chat rooms, resources, etc.)

*The information provided here in no way replaces the information and advice provided by a health care professional. A doctor, dentist, nurse, or Hemophilia Treatment Center should be contacted regarding the diagnosis and treatment of any medical condition. FactorHealth Management's Educational Programs are offered to anyone, regardless of their status as a FactorHealth Management, LLC^TM patient.