Pride Diversity Survey
Sign in to Google to save your progress. Learn more
Of the following groups Q-MoB is already offering, how interested are you in leading or participating in them? *
3- Willing to Lead
2- Very Interested in Participating
1- Somewhat Interested in Participating
0- Not Interested
Hiking
Coffee Klatches
Potlucks
Bar/Pub Outings
Game Nights
Restaurant Networking Dinners
Arts/Culture/Music Outings
Queer Men's Book Club
Gardening Group
For Each of these Activities, how likely are you to regularly lead or participate in that activity with other queer men in the next quarter (June, July, August)?
3: Willing to LEAD
2: Very Interested in Participating
1: Somewhat Interested
0: Not Interested
Biking Group
Yoga/QiGong
Fitness Class/Group
Emergency Prep
Vision Quest Group
Massage/Reiki
Crafting/Fiber Arts
Kayaking/Canoeing/Paddling
Empathy/Support Group
Cooking Class
Dancing Events
Addiction Recovery
Bowling Group
Camping Group
Wellness Class
Herbalism Class
Music Makers Group
Aging Well Group
Snow Sports
Meditation
Q-MoB Diversity Team
Q-MoB Leadership Team
Q-MoB Program Team
Q-MoB Outreach Team
Q-MoB Web/IT Team
Q-MoB Development Team
Q-MoB Resource Referral Team
Financial Planning
Intergenerational Mentoring
Clear selection
What other activities would you like to PARTICIPATE in or LEAD that were not listed above? 
What is your age range?
Clear selection
Do you identify as any of the following? 
What town do you live in?
What state do you live in?
What is your name?
Please let us know your EMAIL if you would like more info about the programs Q-MoB develops as a result of this survey
Please let us know your CELL PHONE # so we could contact you if we cannot read your handwriting?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms