Pre-Circle Experience Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for registering to participate in Cacique Taino Inc's Circle Process Experience. This experience is so important especially with all that is going on in the world.

Please complete this pre-circle experience survey. REQUIRED

Email *

What are your expectations for this experience? What do you hope to gain by participating in it? *

What is the one thing that you would most like to learn during the experience? *

Age *

What is your gender?

Female

Male

Non-binary/third gender

Prefer to self-describe (type in other box)

Prefer not to say

Other:

What is your Sexual Orientation? *

Straight / Heterosexual

Gay or Lesbian

Bisexual

Prefer to self-describe (type in other box)

Prefer not to say

Other:

Required

Race/Ethnicity *

Please rate your degree of knowledge in ancestral circling *

How would you like to use the learning from this experience in your workplace and/or personal life?

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of CACIQUE INC. Report Abuse

Forms