QUESTIONNAIRE

Your Name:

Your Email Address:

Your Preferred User Id:

Your Preferred Password:

Briefly explain why you would like to become a member of our group:

How long have you been in a relationship with a widower:

What is the status of your relationship (Engaged, living together, long
distance, etc.):

How long ago did LW (Late Wife) die?

How long were your SO/DH (Significant Other/Dear Husband) and his LW married?

Briefly explain how you and your SO/DH met:

Your age:

Your SO/DH age:

Do you have any children?
  If so, how old are they?

Does your SO (Significant Other) have any children?
  If so, how old are they?

Are you a member of any other support group for WOWs (Wives of Widowers)
or GOWs (Girlfriends of Widowers)?

What sorts of issues/problems are you encountering that are unique to
dating a widower?

All of the above information is REQUIRED in order to process your application. If your application for membership is approved, you will receive a confirmation email with detailed instructions on how to access and use the forum.

Thanks for your interest in our group!!

PRIVACY AND CONFIDENTIALITY

PLEASE NOTE: By requesting WLW Membership you are agreeing to respect and maintain the rights of Privacy and Confidentiality of all WLW Members as well as the content of this site in its entirety.

Furthermore, any breach of Privacy and Confidentiality will result in immediate termination of Membership and be subject to further action as deemed necessary and appropriate.