Section 1 of 1
CMHA Rosetown Parent Support Group
Registration Form
Email
This form is collecting emails.Change settings
Your Name (first, last)
Your Name (first, last)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Preferred Pronouns (she/her, he/him, they/them)
Preferred Pronouns (she/her, he/him, they/them)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Age
Age
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
Mailing address
Mailing address
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Phone Number
Phone Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
(0 points)
Loading...
Number of children and ages
Number of children and ages
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
What parenting concerns/topics would you like to discuss in this group? (eg. sleep issues, cutting, depression, etc.)
What parenting concerns/topics would you like to discuss in this group? (eg. sleep issues, cutting, depression, etc.)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
How did you learn of our Parent Support Group?
How did you learn of our Parent Support Group?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
I was contacted by CMHA Rosetown
CMHA Rosetown Facebook Page
CMHA Rosetown Twitter
Mental Health Professional/Counsellor
Word of Mouth
Other
Other…
Add option
…
Answer key
(0 points)
Loading...
How often would you like this support group to meet?
How often would you like this support group to meet?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Once a month
Twice a month
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
When restrictions are lifted, would you be interested in presentations from Psychiatrists, Counselors, Pharmacists, or other Mental Health Professionals as a part of Parent Support Group? If yes, please list below.
When restrictions are lifted, would you be interested in presentations from Psychiatrists, Counselors, Pharmacists, or other Mental Health Professionals as a part of Parent Support Group? If yes, please list below.
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions