お使いのブラウザで JavaScript が有効になっていないため、このファイルは開けません。有効にして再読み込みしてください。
Brief Survey
We appreciate you taking
a moment to complete this 1 minute survey. Your responses will help us with planning and meeting your needs. Please complete the survey by Friday, December 9
.
Google にログイン
すると作業内容を保存できます。
詳細
* 必須の質問です
メールアドレス
*
メールアドレス
Full Name
*
回答を入力
How likely are you to attend the retreat next year?
*
選択
Very Likely
Somewhat Likely
Unsure
Somewhat Unlikely
Very Unlikely
If you attend the retreat next year, how likely are you to stay for the entire event October 26 (Thursday) - October 30 (Monday)?
*
選択
Very Likely
Somewhat Likely
Not Sure
Somewhat Unlikely
Unlikely
How likely are you to use our provided transportation from Berkeley to the retreat in Yosemite?
*
選択
Very Likely
Somewhat Likely
Not Sure
Somewhat Unlikely
Unlikely
Could you share any access or ADA accommodation needs you may have so that we can better plan an inclusive gathering?
回答を入力
Are you planning to bring your child/children?
*
Yes
No
次へ
フォームをクリア
Google フォームでパスワードを送信しないでください。
このフォームは UC Berkeley 内部で作成されました。
不正行為の報告
フォーム
