BUILDING THE PUBLIC WILL - Community Survey
Sign in to Google to save your progress. Learn more
Did you know that nearly 90% of students are failing Indiana's Statewide grade-level assessments? *
What is your zip code? *
This completes the "required" questions. 
Please feel free to submit now with the button below.
Please also feel encouraged to share more and continue with the survey. 
How does the fact that nearly 90% of students are being underserved by our school system, make you feel?
Would you like a chance to be heard in a greater way?  (We will contact you to set up an interview.)
Clear selection
Thoughts/Suggestions for Improvement
Email
Why are we asking for your Email address?
We want to measure our impact in real numbers. When you give us your email address we are able to count your participation in our survey as real impact.  If you don't want to give your email, we invite you to give us your name instead.  Neither are required, so if you want to remain anonymous, you may do so.  Please complete the two required short answer questions and submit your form.  Thank you for participating and assisting in Building the Public Will.
Name
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
Google Forms