Community Entity Form

Section 1 of 1

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Form description

By completing this form, you are consenting to being contacted by phone and/or email by EMDR HAP/NC TRN.

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Email*

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First and Last Name

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First and Last Name

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Rating

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Time

Description

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Title

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Title

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Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

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Rating

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Date

Time

Description

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Organization

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Organization

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Dropdown

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Checkbox grid

Date

Time

Description

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Number

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Length

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Greater than or equal to

Less than

Less than or equal to

Equal to

Not equal to

Between

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Whole number

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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Question

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

Multiple choice grid

Checkbox grid

Date

Time

Description

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Loading image…

Caption

Short answer text

Response validation has been added.

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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

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and

Number

Custom error text

Answer key

(0 points)

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Telephone

Question

Telephone

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

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Rating

Multiple choice grid

Checkbox grid

Date

Time

Description

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Loading image…

Caption

Short answer text

Response validation has been added.

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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

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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Website

Question

Website

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

Multiple choice grid

Checkbox grid

Date

Time

Description

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Loading image…

Caption

Short answer text

Response validation has been added.

Remove

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

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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County/Region

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County/Region

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

Multiple choice grid

Checkbox grid

Date

Time

Description

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Loading image…

Caption

Short answer text

Response validation has been added.

Remove

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

Number

and

Number

Custom error text

Answer key

(0 points)

Require a response in each rowRequiredRequired

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Brief description/list of services or resources.

Question

Brief description/list of services or resources.

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Question Type

Short answer

Paragraph

Multiple choice

Checkboxes

Dropdown

File upload

Linear scale

Rating

Multiple choice grid

Checkbox grid

Date

Time

Description

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Caption

Long answer text

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Maximum character count

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Link to Sheets

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Summary

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Individual

Insights

Total points distribution

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First and Last Name

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Title

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Organization

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Telephone

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Website

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County/Region

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Brief description/list of services or resources.

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Settings

Make this a quiz

Assign point values, set answers, and automatically provide feedback

Release grades

Immediately after each submission

Later, after manual review

Turns on Responses → Collect email addresses

Respondent settings

Missed questions

Respondents can see which questions were answered incorrectly

Correct answers

Respondents can see correct answers after grades are released

Point values

Respondents can see total points and points received for each question

Global quiz defaults

Default question point value

Point values for every new question

points

Responses

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Collect email addresses

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Presentation

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Defaults

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Collect email addresses by default

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Make questions required by default