JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Stories For Change
We want to listen.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
What neighbourhood do you live in?
Your answer
Address
*
Your answer
Postal Code
*
Your answer
Which communities do you belong to?
Your answer
Would you rather someone on our team phone you and record the call so that you do not have to write out your story?
Yes
No
Other:
Clear selection
What challenge are you facing or what challenge is someone in your life facing right now that you would like to talk about?
Your answer
Tell us the story. What happened (or is happening). (Max. 500 words)
Your answer
Ideally, what is the change you want to see in Ontario? [Be as specific as you can be — 250 word limit]
Your answer
What gives you hope? Can you describe a positive moment or fond memory you have that keeps you going/moving forward? [ Be as specific as you can be [250 word limit]
Your answer
Do you give us permission to share your story?
*
on our website
with a photo of you
on Facebook
on Twitter
on Youtube and other social media
Other:
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
Forms
