Group Formation Survey
Greetings! This is an opportunity for you to provide input regarding the formation of this new group being offered virtually through Rainbow Resiliency. We thank you for your interest, and for your time in answering the questions below. Your responses will help shape the timing & topics of this group. Your personal details will be kept confidential.
Sign in to Google to save your progress. Learn more
What is your name?
(Legal name, if you have one, is not required)
What are your pronouns?
What is the your email address?
*
Do you identify as being part of the 2SLGBTQQIA+ community? *
Captionless Image
Required
We are an anti-oppressive practice. This means that we do our best to create spaces that aware and affirming of diverse identities.

Do you agree to do your best to abstain from racist, homophobic, transphobic, biphobic, ableist, or other identity-based comments, and to work on any -isms that may be uncovered through our work together outside of group?
*
To help us find a time that works for most people who are interested in this group, please indicate all of the times that you could attend an every-other-week virtual group meeting. Please add alternative times you might be available in the "other" category.  *
Required
Are there topics you would like for this group to discuss? Please let us know your ideas! 
Is there anything else that you would like to share? Thank you! 
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