JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BASCNA GSR Report Form
Please take time to fill this form out to the best of your ability before the third Tuesday of each month when Bergen Area will be meeting via Zoom @ 7:30PM. You can find the Zoom link on our area's website at
www.bergenarea.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is today's date?
*
MM
/
DD
/
YYYY
Are you a new GSR/GSRA or new to Bergen Area? If yes, WELCOME!! :) Feel free to ask anyone for help throughout the night!
*
Yes
No
What is your position for your group? *If you are not GSR/GSRA you are automatically Representative, and you still have voting rights at area.
*
GSR
GSRA
Representative
What is your group's # and Name?
*
Your answer
What is your name, phone number, and email address (if you have one) ?
*
Your answer
Are you in person, virtual, or hybrid (both)?
*
Virtual
In Person
Hybrid
VIRTUAL MEETINGS: Please type your virtual codes below. (Example: Zoom ID# 123456789 & Password: 12345) *In Person Meetings Type: N/A*
*
Your answer
IN PERSON MEETINGS: Please type your location details below. (Full Address Including Building # or Facility Name, Town, State, Zip Code) Example: The Church of ABC at 123 Jane Doe Lane. in Town Name, NJ 12345 *Virtual Meetings Type: N/A*
*
Your answer
Are you collecting 7th Tradition?
*
Yes
No
Other:
How are you collecting 7th Tradition? (If so)
Group's Venmo
Directing Members to Donate to Bergen Area's Venmo Account
Group's Cash App
Group's PayPal
Accepting Cash (in person)
Decline To Answer.
Other:
What is your group's format? Check all that may apply.
*
Beginner (B)
Basic Text (BT)
Book Study (BK)
Bilingual [Spanish/English] (Bi)
Closed Meeting [Addicts Only] (C)
Candlelight (Cn)
Concepts (Ct)
Discussion (D)
Deaf Interpreted (Df)
Espanol/Spanish (Es)
Gay/Lesbian (G)
Grab Bag (Gr) [Or Spin the Wheel]
It Works How & Why (H&W)
Just For Today (JFT)
Literature (L)
Living Clean (Lc)
Men Only Meeting (M)
Meditation (Md)
No Children Allowed (NC)
Wheelchair Accessible (WCA)
Open Meeting [Anyone Welcome] (O)
Pamphlet (P)
Rotating Format [Changes Each Week] (Ro)
Round Robin [fixed sharing circle] (RR)
Speaker (S)
Sponsorship (Sp)
Step (St)
Step 1,2,&3 (St1-3)
Steps 1 through 4 (St1-4)
Step Working Guide (SWG)
Tag (Ta)
Tradition (Td)
Traditions 1 through 4 (Td1-4)
Topic (Tp)
Varied (V)
Women Only (W)
Youth (Y)
VIRTUAL MEETING (VM)
IN PERSON (InP)
UNSURE
Other:
Required
Meeting Time & Day?
*
Your answer
If the group used to meet in person, but have gone virtual due to COVID19... Please type the meeting's physical location prior to going digital below.
*
Your answer
What is your group rent? (If virtual, the rent would be the cost of the virtual platform per month)
*
Your answer
How much did your group donate to area this month? If unsure, please type UNSURE.
*
Your answer
What is your group's home balance to date?
*
Your answer
Average group attendance?
*
Your answer
Do you have any additional comments / concerns you would like to address ? (Example; in need of trusted servants and speakers...)
*
Your answer
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
Forms
