Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Be a Friend to ikOkay
Your support will go a milestone in ensuring the sustainability of our Mental Wellness programs.
For More information contact: us at (+254) 752 444 559 or Email
ikokay@chekitubonge.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Organisation / Company
Your answer
Email
*
Your answer
Address
Your answer
Phone number
Your answer
How did you learn about us?
Your answer
Additional Comments
Your answer
To Support
Send in via Mpesa Paybill No: 303030
Account Number: 2045865536
Bank: Absa Bank
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms