Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Orthodox Parents of Trans Children Phone call
This form is to know what your questions are in advance of the phone meeting with Rabbi Fox, but feel free to ask any question on the call. You can be anonymous on this call by making up a name or not saying your name. However, if you want to get the call in information we will need your email address. All identifying information will be kept confidential.
Sign in to Google
to save your progress.
Learn more
Name (Alias is fine)
Your answer
Email Address
Your answer
Description of child and situation you or child may be in, or any concerns you have about your child.
Your answer
Would you like to meet with this group on a regular basis?
Yes
No
Maybe
Other:
Clear selection
Would you ever consider an in-person meeting?
Yes
No
Maybe
Other:
Clear selection
Would you be interested in joining our annual retreat for Orthodox parents of LGBT children on the East coast?
Yes
No
Maybe
Other:
Clear selection
Are you interested in our mentoring program for parents? We match parents who would like a mentor to help them with understand issues in having an LGBT child.
Yes
No
Maybe
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
