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Thank you for being a part of [institution/station] storytelling.
In an effort to track community voices, we hope you'll answer these questions.
Please note, this is optional, but your participation is greatly appreciated and helpful in ensuring diverse voices and perspective are heard.
In an effort to track community voices, we hope you'll answer these questions.
Please note, this is optional, but your participation is greatly appreciated and helpful in ensuring diverse voices and perspective are heard.
First Name
First Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Last Name
Last Name
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Gender
Gender
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Select any that apply
Female
Transgender Female
Transgender Male
Genderqueer/Gender non-conforming
Prefers not to share gender
Not sure
Other:
Add option
…
Answer key
(0 points)
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Race and/or Ethnicity
Race and/or Ethnicity
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Select any that apply
Indigenous American
Asian
Black/African-American
Native Hawaiian or other Pacific Islander
Latino/a/x
Middle Eastern/Arab-American
White
Prefer not to share race or ethnicity
Not sure
Other:
Add option
…
Answer key
(0 points)
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Year of birth
Year of birth
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
What year were you born? (Full four digit year when you were born. Example: "1984")
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)
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Sexual orientation
Sexual orientation
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Select any that apply
Lesbian
Gay
Bisexual
Queer
Straight
Prefer not to share sexual orientation
Not sure of sexual orientation
Other:
Add option
…
Answer key
(0 points)
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Zip Code
Zip Code
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Five digit zip code where you live. Example: "01720"
Number
Text
Length
Regular expression
Contains
Doesn't contain
Matches
Doesn't match
Answer key
(0 points)
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Political Ideology
Political Ideology
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Where do you fall along the political spectrum?
Very Liberal
Liberal
Moderate or neutral
Conservative
Very Conservative
Prefer not to share political ideology
Not sure of political ideology
Other:
Add option
…
Answer key
(0 points)
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Is there anything else you wish to share about yourself?
Is there anything else you wish to share about yourself?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Image title
Loading image…
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Link to Sheets
Summary
Question
Individual
Insights
Total points distribution
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Settings
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