Basic Information

Please fill-in below before completing the survey.

Name

Question Title

* 1. Name

Age

Question Title

* 2. Age

Gender

Question Title

* 3. Gender

Are you Pomo?

Question Title

* 4. Are you Pomo?

Phone

Question Title

* 5. Phone

Address

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* 6. Address

Email

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* 7. Email

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.

Question Title

* 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.

Which app did you use prior to completing this survey?

Question Title

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

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