Survey/Questionnaire

Fist Name, Last Name

Question Title

1. Fist Name, Last Name

Telephone Number

Question Title

2. Telephone Number

e-mail

Question Title

3. e-mail

What would you like to receive from The Cultural Diversity Committee?

Question Title

4. What would you like to receive from The Cultural Diversity Committee?

What kind of service could you offer to the Committee/Community?

Question Title

5. What kind of service could you offer to the Committee/Community?

In what kind of activities, events or projects  would you like to participate and see that best represent the vision and goals of our Committee?

Question Title

6. In what kind of activities, events or projects  would you like to participate and see that best represent the vision and goals of our Committee?

What language(s) do you speak?

Question Title

7. What language(s) do you speak?

T