Request edit access
Respond to Healing Voices
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Organization Affiliation (if any)
Your answer
Please let us know how your screening/viewing experience of Healing Voices affected you, your organization, and/or your community. *
Specifically, how do the narratives presented in this film relate to your opinions, ideas, and/or personal experiences?
Your answer
What did you learn during your community dialogue?
Your answer
Would you like a member of our Social Action Team to respond to your form submission? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service