Public's Voice Form
We would like to explore tough public problems with you, through increasing our knowledge of the issue.

Citizens have a responsibility to make choices about how to solve problems because government alone cannot solve them all. The information that you will provide will be very useful for us to think of solutions or influence public decisions and policy.  

Thank you!

Tell us your issue.
We'll take it from there!
Sign in to Google to save your progress. Learn more
Email *
Name *
Email *
Organization/Company *
What is the big issue/concern you want us to look into? *
What is the value of this issue? *
Did you personally experience this issue/concern? *
If yes, please share your experience on this issue (when did it happen, why did it happen, and how did it happen?) *
How can we get more information on this issue/concern to have a good understanding of the problem and how it affects the community? *
What do you think is a common ground for action? *
What are the tensions or conflicts in this issue that we have to work through? *
Would you like to join us in a consultation on this issue in the future? *
If yes, how can we contact you? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Development Academy of the Philippines. Report Abuse