Thank you for participating in the PomPomWow program!

Please complete the survey below to tell us about your experiences with this program's products. After you submit the form, your preferred status with will be maintained.

Surveys for this program must be submitted by
Thursday, September 1, 2016

Failure to submit the survey by this time will result in a status downgrade to suspended status.

1. Enter the location name in the auto-complete field below:

2. Enter the primary contact info in the fields below:

3. Answer these three questions to the best of your ability: