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* 1. Which do you identify with?

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* 2. Do you feel supported in this community?

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* 3. Should Revelstoke have a community-based gay-straight alliance society?

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* 4. If you said yes, what is the most important? 

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* 5. What other purposes should the society fulfill?  (check all that apply)

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* 6. If you answered no to question 3., why not?

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* 7. Does the name Safe Spaces attract you to our organization and capture what you would like to see in our organization?  If not, what other name do you suggest?

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* 8. If you would like to participate in Safe Spaces Revelstoke activities, please check which activities.  I would like:

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* 9. Please provide your contact information if you would like to be involved.

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* 10. Do you want to walk in the Canada Day Parade with Safe Spaces?

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