Making Room: Hospitality with Our Neighbors
Welcome! We would like to get to know you a bit better for the purpose of understanding how we might explore hospitality together. Your answers will help us match you with a neighbor. We respect your privacy; information collected through this form is confidential.

We hope you will register by Sept. 30, so we can match you with your neighbor by Oct. 11; however, registration will remain open after this. Once you register, we will reach out to you as soon as possible with further instructions. Please be patient, as this is a new and experimental program! We are excited to learn together, but as with all "start-ups" we ask you to help us make great things by providing feedback as we grow.

Contact us at torib@fpcberkeley.org with any questions.
Name (Last) *
Name (First) *
Address *
City *
State *
Zip *
Email *
Phone *
Best way to contact you? *
Age *
Gender: *
I prefer to meet with a neighbor who is: *
I live:
Please check all that apply.
I am:
Please check all that apply.
Most days, I feel:
Worst I have ever felt
Best I have ever felt
Clear selection
About Coronavirus, I have been feeling:
Extremely concerned
Not at all concerned
Clear selection
In general, I have time for visiting or contacting my neighbor: *
No time at all
Less an an hour
About an hour
Several hours
Daily
Weekly
Every other week
Monthly
Ways of connection I might enjoy:
What might you hope for through participating in Making Room? *
Questions?
I am willing to: *
Please check each box to confirm that you understand important aspects of participating in Making Room.
Required
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