Missing Mama:

The Experience of Mother Absence in African American Communities

Survey 2: Mother Absence Due to Living Death

There is much written and discussed about the absence of African American males as fathers in the African American communities. The intent of this survey is to capture the experience of mother absence in the African American communities from the men, women and children who are “Missing Mama” through the circumstances of death, abandonment, neglect, rejection, disability, adoption, physical or mental illness, alcohol or drug abuse, violence, and incarceration and others.

About you:

Gender:
Marital Status:


If you have more than one child, please seperate the ages by a semi-colon (;)

About Your Experience:

Please list all persons.
Are you willing to complete a recorded phone interview?


If my story is chosen for inclusion in the book, I would like it to be identified in the following manner:

THANK YOU for completing this survey. Your story and experience about Missing Mama may be included in the “MISSING MAMA" trilogy.

This is a work in progress by Early Education and Child Development Consultant, Amoke Kubat. By completing this survey, you understand and agree that you will receive no compensation for the written appearance of any part of your story that you have submitted. All survey information will become exclusive property of the author, as they have been written. I understand that my participation in this survey has been completely voluntary, and I had the right to discontinue my entry at any time. By checking the box below, and completing the above form, I am therefore providing consent to participate in this survey.


Security test. Please identify the pictures: