Channel Survey
Help our channel reflect and respond to YOU! Your personal information will be kept completely confidential.
Email *
First Name
Last Name
Age Group *
City *
Country *
How do you connect your mainstream life to your cultural pride? *
If you are registered or affiliated with an indigenous tribe, nation, culture or group, please list the name(s) below.
What is your favorite TV or digital CHANNEL right now? *
What is your favorite TV or online SHOW right now? *
What kinds of shows do you like to watch the most? *
Required
What content that you currently enjoy makes you feel great about yourself and all you are?
This can be a movie, TV shows, website, magazine, etc.
What kinds of shows do you wish you could see, that you can't find on TV or online?
What social media platforms do you actively use? *
Required
Is there anyone you actively follow online?
Please share any names
How can we follow you online?
Please share your Twitter, Facebook or Instagram IDs! (begin with @, no spaces)
May we please contact you to talk to you further about our project?
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms