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Seattle Modern Quilt Guild Antiracist Sewing Circle
Availability and Interest Survey
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* Indicates required question
Email
*
Your email
What name/pronouns do you prefer?
Your answer
Are you planning to attend our initial online organizing meeting on September 16, 2021 at 7pm?
Yes
No
Maybe
Clear selection
How comfortable are you discussing gender or sexuality with friends or family?
Not very comfortable
1
2
3
4
5
Very comfortable
Clear selection
How comfortable are you discussing race or ethnicity with friends or family?
Not very comfortable
1
2
3
4
5
Very comfortable
Clear selection
How comfortable are you discussing wealth or social status with friends or family?
Not very comfortable
1
2
3
4
5
Very comfortable
Clear selection
What topics or issues do you have questions about to might you want to discuss? (these responses may be shared with the group but not attributed to you)
Your answer
What topics or issues do you NOT feel comfortable discussing or what could we be especially sensitive to proceed with caution? (these responses may be shared with the group but not attributed to you)
Your answer
This is to help us prepare to facilitate and plan times for group discussion. In an online discussion group where quilting is the focus (so we all might be sewing and quiet at times), do you prefer to
remain quiet and listen to others
participate via chat rather than voice
participate in voice or chat occasionally but not in every discussion
I like to participate in voice or chat to most discussions
I am an active vocal participant and might be able to help facilitate to give others a chance to talk
I like to participate in chat and might be able to help facilitate to involve other responses
I like to take notes and reflect - I might like to discuss later or the following meeting
I like to take notes and reflect - I might like to provide thoughts in chat later or in the following meeting
Clear selection
What is your preferred availabilities?
*
Weekday mornings 9 am -12 pm
Weekday afternoons 1pm-3pm
Weekday evenings 4-7pm
Weekend mornings 9 am - 12 pm
Weekend afternoons 1 pm - 3pm
Weekend evenings 4 pm -7 pm
Other:
Required
Specific days of the week you are available?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Would you be interested in collaborating to create content for reflection for each monthly meeting? Could you meet for 1 hour in advance to discuss ideas about a week prior to the Sewing Circle meeting?
Yes
No
Occasionally but not every month
Clear selection
May we call or text you if we need to?
Please provide your phone number
Your answer
Send me a copy of my responses.
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