Vision Church Los Angeles New Partnership Questionnaire Question Title * 1. What is you contact information? (Required.) Name Address City State Zip Email Address Phone Number Question Title * 2. What is your race/ ethnicity? (Please select all that apply) (Required.) Black or African American Hispanic or Latino Asian or Asian American American Indian or Alaska Native Native Hawaiian or other Pacific Islander White or Caucasian Another race/ ethnicity (please specify) Question Title * 3. When is your birthday? (Required.) MM/DD/YYYY Date Question Title * 4. What is your gender identity? (Required.) Male Female Transgender woman Transgender man Another identity (please specify): Question Title * 5. How did you hear about Vision Church Los Angeles? (Required.) Facebook Instagram YouTube Family or Friend Vision Nation Other (please specify) Question Title * 6. What was your last ministry of affiliation, if any? (Required.) Question Title * 7. My interests include (please select all that apply): (Required.) Music Arts and culture Social justice and education Community building Advertising/ Marketing/ Public relations Technology and media Finance and administration Something else (please specify) Question Title * 8. Would you recommend a friend or family member to Vision LA? (Required.) Yes No Question Title * 9. What is your preferred mode of contact? (Required.) Text message Email Phone call Any of these are great! Other (please specify) Question Title * 10. What is something you look forward to experiencing with Vision LA or anything else you would like to share? (Required.) Page1 / 1 100% of survey complete. Done