Basic Information

Please fill-in below before completing the survey.

* 1. Name

* 2. Age

* 3. Gender

* 4. Are you Pomo?

* 5. Phone

* 6. Address

* 7. Email

* 8. Would you like to subscribe to our email or newsletter list? We send emails to announce special CIMCC events (about quarterly) and mail print newsletters (2-3 per year). Note: a PDF of the California Indian newsletter will also be available online a few weeks after mail-out on our website.

* 9. Which app did you use prior to completing this survey?