JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ROCHESTER AREA INTERFAITH CLIMATE ACTION
RAICA ENGAGEMENT SURVEY
* Indicates required question
Email
*
Record my email address with my response
RAICA ENGAGEMENT SURVEY
If you are a member of a faith community we are interested in knowing its name if ok with you.
Your answer
May we have your phone number? Please list it
Your answer
Does your faith community have a climate or environmental action committee or interest group?
*
Yes
No
Other:
What is your
primary
interest/focus/motivation for engaging with RAICA?
*
To learn more about the climate crisis
To learn what I (or my faith community) can do to have a positive impact
To learn what other people are doing and the options available to take effective action
To meet like-minded people who are engaged in climate action
Other:
What issue(s) are of most interested to you?
*
"Greening" my faith community
Urban gardens, habitat protection, biodiversity, natural systems, etc.
Renewable energy, energy efficiency
Climate justice
Climate policy at the state or national level, advocacy
Our food system
this doesn't allow multiple reesponses, it should
Other:
How did you hear about RAICA?
*
From a friend
From a member of my faith community
From an event I attended
From the web
Other:
Help congregants and houses of worship go green
Your answer
RAICA often works in coalition with other groups in our region. Perhaps you are active in one...which one(s)?
Your answer
Would you be interested in attending a "newcomers" meeting with some RAICA folks?
Yes
No
Other:
Clear selection
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report