Welcome to Special Needs Mutual! We are so excited that you have accepted this amazing calling and are willing to serve and love our special friends. Please enter all info for yourself so we can get to know you better and place you with just the right special friend for the year!
Email*
Valid email
This form is collecting emails.Change settings
What's your name?
*
Question
What's your name?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
Are you a YW or a YM?
*
Question
Are you a YW or a YM?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
YW
YM
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
What name do you prefer to go by?
*
Question
What name do you prefer to go by?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
If you have a cell number, what is it?
*
Question
If you have a cell number, what is it?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
Can we text your cell? (We will only text critical SNAP info)
*
Question
Can we text your cell? (We will only text critical SNAP info)
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Yes
No
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
We will be using GroupMe for communication. Can you download the app on your phone? Or should we communicate with you a dif way?
*
Question
We will be using GroupMe for communication. Can you download the app on your phone? Or should we communicate with you a dif way?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Yes, on the GroupMe
Another way
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
What year are you in school?
*
Question
What year are you in school?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Freshman
Sophomore
Junior
Senior
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
When is your birthday?
*
Question
When is your birthday?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
Are you proficient at ASL?
*
Question
Are you proficient at ASL?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Yes
No
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
If you play, what instrument do you play?
*
Question
If you play, what instrument do you play?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
What, if any, experience do you have with special needs people?
*
Question
What, if any, experience do you have with special needs people?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
What are you hobbies or talents?
*
Question
What are you hobbies or talents?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
What is your favorite treat?
*
Question
What is your favorite treat?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
What is your favorite primary song or hymn?
*
Question
What is your favorite primary song or hymn?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
Mark any/all in which you are willing to participate
*
Question
Mark any/all in which you are willing to participate
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Offer a prayer
Give a spiritual thought
Perform a special number
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
What has been your favorite YW/YM activity that you have attended?
*
Question
What has been your favorite YW/YM activity that you have attended?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
Are you willing to commit to offering your Thursday nights throughout the school year to our special friends barring a FEW understood conflicts, of course?
*
Question
Are you willing to commit to offering your Thursday nights throughout the school year to our special friends barring a FEW understood conflicts, of course?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
That's a resounding YES!
You can count on me!
Other…
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Do you have any allergies? If so, what?
*
Question
Do you have any allergies? If so, what?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Description
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)
Loading...
Loading…
Link to Sheets
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
What's your name?
Copy
No responses yet for this question.
Are you a YW or a YM?
Copy
No responses yet for this question.
What name do you prefer to go by?
Copy
No responses yet for this question.
If you have a cell number, what is it?
Copy
No responses yet for this question.
Can we text your cell? (We will only text critical SNAP info)
Copy
No responses yet for this question.
We will be using GroupMe for communication. Can you download the app on your phone? Or should we communicate with you a dif way?
Copy
No responses yet for this question.
What year are you in school?
Copy
No responses yet for this question.
When is your birthday?
Copy
No responses yet for this question.
Are you proficient at ASL?
Copy
No responses yet for this question.
If you play, what instrument do you play?
Copy
No responses yet for this question.
What, if any, experience do you have with special needs people?
No responses yet for this question.
What are you hobbies or talents?
No responses yet for this question.
What is your favorite treat?
Copy
No responses yet for this question.
What is your favorite primary song or hymn?
Copy
No responses yet for this question.
Mark any/all in which you are willing to participate
Copy
No responses yet for this question.
What has been your favorite YW/YM activity that you have attended?
No responses yet for this question.
Are you willing to commit to offering your Thursday nights throughout the school year to our special friends barring a FEW understood conflicts, of course?
Copy
No responses yet for this question.
Do you have any allergies? If so, what?
Copy
No responses yet for this question.
Waiting for responses
of
18
of
1
Loading...
Loading response…
Grades from previous versions of this form are hidden. Learn more
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
points
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Respondents will manually enter their email response
Do not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more