Función: Miércoles 30 de septiembre Horario: 19 hrs.
Lugar: Auditorio Municipal
Dirección: Alberto Llona 1899, Maipú
Función gratuita, previa inscripción.
Basta una inscripción por grupo.
(No enviamos correo de confirmación, basta completar el formulario
Email*
Valid email
Nombre y apellido
*
Question
Nombre y apellido
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
fecha de nacimiento
*
Question
fecha de nacimiento
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Answer key
(0 points)
Loading...
Loading…
rut
*
Question
rut
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
Dirección (calle y número)
*
Question
Dirección (calle y número)
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
Comuna de residencia
*
Question
Comuna de residencia
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
Número de teléfono
*
Question
Número de teléfono
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
Correo electrónico
*
Question
Correo electrónico
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
¿Con cuántas personas más vienes?
*
Question
¿Con cuántas personas más vienes?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Solo yo
+1
+2
+3
Other:
Other:
Add option
or
add "Other"
…
Answer key
(0 points)
Loading...
Loading…
Edad
*
Question
Edad
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
Comuna de residencia
*
Question
Comuna de residencia
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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…
¿Cómo te enteraste de esta actividad? (Selecciona todas las que correspondan)
*
Question
¿Cómo te enteraste de esta actividad? (Selecciona todas las que correspondan)
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Redes Sociales
Difusión impresa (Afiches, carteleras, flyers)
Boca a Boca
Mailing Municipalidad de Maipú
Grupos de whatsapp
Página web Sala K
Other:
Other:
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
¿Has participado en actividades de Sala K/Maipú anteriormente? (Selecciona todas las que correspondan)
*
Question
¿Has participado en actividades de Sala K/Maipú anteriormente? (Selecciona todas las que correspondan)
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Si, a sus funciones de cine gratuitas.
Si, a sus actividades de formación gratuitas.
No, primera vez que voy a ir.
Other:
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
Answer key
(0 points)
Loading...
Loading…
¿Te gustaría recibir información de la sala en tu correo electrónico?
*
Question
¿Te gustaría recibir información de la sala en tu correo electrónico?
*
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Description
Loading image…
Caption
Sí
No
Other:
Add option
or
add "Other"
…
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.
Summary
Question
Individual
Insights
Total points distribution
Loading...
Loading responses…
This form is approaching the response limit. Once surpassed, the summary of responses will no longer be displayed. Learn more
Close
This form has exceeded 50,000 responses and the summary of responses can no longer be displayed. You can still download responses as a .csv file. Learn more
Nombre y apellido
Copy chart
No responses yet for this question.
fecha de nacimiento
No responses yet for this question.
rut
Copy chart
No responses yet for this question.
Dirección (calle y número)
Copy chart
No responses yet for this question.
Comuna de residencia
Copy chart
No responses yet for this question.
Número de teléfono
Copy chart
No responses yet for this question.
Correo electrónico
Copy chart
No responses yet for this question.
¿Con cuántas personas más vienes?
Copy chart
No responses yet for this question.
Edad
Copy chart
No responses yet for this question.
Comuna de residencia
Copy chart
No responses yet for this question.
¿Cómo te enteraste de esta actividad? (Selecciona todas las que correspondan)
Copy chart
No responses yet for this question.
¿Has participado en actividades de Sala K/Maipú anteriormente? (Selecciona todas las que correspondan)
Copy chart
No responses yet for this question.
¿Te gustaría recibir información de la sala en tu correo electrónico?
Copy chart
No responses yet for this question.
No responses yet. Please check back later.
of
13
This form is approaching the response limit. Once surpassed, the question view will no longer be displayed. Learn more
Close
of
1
Loading...
Loading response…
This form is approaching the response limit. Once surpassed, the individual view will no longer be displayed. Learn more
Close
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
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
1 GB
10 GB
100 GB
1 TB
Presentation
Manage how the form and responses are presented
Form presentation
After submission
Confirmation message
Inscripción correctamente recibida. No enviamos correo de confirmación, basta completar el formulario.