JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Directory Feedback Survey
This is for folks to fill out who have ALREADY COMPLETED their directory listing. Thank you so much for your help with making this directory as incredible as it can be, and for helping us make it as robust, inclusive, and technologically seamless as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I have completed and paid for my listing for the directory and am now filling out the survey (I would not be filling out the survey if I had not completed my directory listing).
*
Yes, I have completed and paid for my listing.
No, I will come back later. I understand not to fill this out until after completing my listing.
Name as it appears in the directory
*
First and last name
Your answer
What browser did you use (Chrome, safari, etc.), and on what kind of device (laptop, desktop, tablet, phone), and which operating system (Windows, iOS, or Android)?
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Jewish Therapist Collective.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report