Send
Sign in
Section 1 of 1
Welcome! Please take a moment to connect to the exciting changing of our world
Name
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Surname
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Your address. 
Please indicate SUBURB and TOWN/CITY
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
e-Mail address
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Cellphone
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What are your interests?
Choose max. 5 areas that pulls your heartstrings
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Agriculture
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Communication/Media
Question Type
Loading image…
X
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Construction- buildings, roads, bridges
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Energy
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Environment/Conservation
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Health/Wellness
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Housing
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Humankind
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
International Affairs/Imports&Exports
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Learning/Education
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Marine/Ocean
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
National Affairs
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Recreation/Sports/Art
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Recycling
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Sanitation
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
SecurityLaw/Defense
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Spiritual/Consciousness
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
HR/Trade/Jobs
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Transport 
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Treasury/Finances
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Water
Question Type
Loading image…
x
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Why are you interested in the Communities for South Africa? What is your passion?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
How likely are you to get involved in restoration of our South Africa?
Question Type
Loading image…
Not likely
Very likely
to
1
Label (optional)
5
Label (optional)
Answer key
(0 points)
Loading...
Loading…
We would love to make contact to share and also see if we can be of assistance. May we contact you for a chat?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Thank you for joining hands with like-minded South Africans who works towards restoration of people and planet.
 You are WELCOME!

Our contact details: admin@communitiessa.co.za.   www.communitiessa.co.za
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Name
Copy chart
No responses yet for this question.
Surname
Copy chart
No responses yet for this question.
Your address. 
Please indicate SUBURB and TOWN/CITY
No responses yet for this question.
e-Mail address
Copy chart
No responses yet for this question.
Cellphone
Copy chart
No responses yet for this question.
What are your interests?
Choose max. 5 areas that pulls your heartstrings
Copy chart
No responses yet for this question.
Agriculture
Copy chart
No responses yet for this question.
Communication/Media
Copy chart
No responses yet for this question.
Construction- buildings, roads, bridges
Copy chart
No responses yet for this question.
Energy
Copy chart
No responses yet for this question.
Environment/Conservation
Copy chart
No responses yet for this question.
Health/Wellness
Copy chart
No responses yet for this question.
Housing
Copy chart
No responses yet for this question.
Humankind
Copy chart
No responses yet for this question.
International Affairs/Imports&Exports
Copy chart
No responses yet for this question.
Learning/Education
Copy chart
No responses yet for this question.
Marine/Ocean
Copy chart
No responses yet for this question.
National Affairs
Copy chart
No responses yet for this question.
Recreation/Sports/Art
Copy chart
No responses yet for this question.
Recycling
Copy chart
No responses yet for this question.
Sanitation
Copy chart
No responses yet for this question.
SecurityLaw/Defense
Copy chart
No responses yet for this question.
Spiritual/Consciousness
Copy chart
No responses yet for this question.
HR/Trade/Jobs
Copy chart
No responses yet for this question.
Transport 
Copy chart
No responses yet for this question.
Treasury/Finances
Copy chart
No responses yet for this question.
Water
Copy chart
No responses yet for this question.
Why are you interested in the Communities for South Africa? What is your passion?
No responses yet for this question.
How likely are you to get involved in restoration of our South Africa?
Copy chart
No responses yet for this question.
We would love to make contact to share and also see if we can be of assistance. May we contact you for a chat?
Copy chart
No responses yet for this question.
Thank you for joining hands with like-minded South Africans who works towards restoration of people and planet.
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
.