Registration for GenderQueer Group
Exit this survey
 

1. Default Section

 

Welcome to registration for HIFY's Gender Queer gathering and Digital Storytelling series!

Image as described above
Hello! If you're interested in attending our Movie screening and craft day on August 19th or the rest of the Digital Storytelling series, please fill in the following information. We will not be using your information for any other reason than contacting you regarding the group. If there is information you don't feel comfortable giving- leave it blank! We want this to be a safe space for you!

1. What is your name? (the one you like to be called, not necessarily legal name)

2. What is your phone number?

3. What is your email address?

4. What's the best way to reach you?

5. Are you interested in attending our August 19th screening and Gender Variant Coloring Book making party that will take place 4pm-6:30pm?

6. If yes, which movie about gender queerness would you prefer to watch?

These next few questions are more about you, so that we can tailor the group to meet your needs. Remember, you can skip any questions you want!

7. How "out" are you about being gender variant/gender queer?

8. How interested in making media resources about gender, sexuality, and health?

9. How much experience do you have using Mac computers?

10. How much experience do you have writing scripts, poetry, stories, etc. ?

11. How much experience do you have creating and editing movies or film?

12. What would you like to get out of participating in this group?

13. Do you have any specific dietary needs or restrictions?

14. Is there anything else that you'd like us to know about you?

Powered by SurveyMonkey
Create your own free online survey now!