Mojalet Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Mojalet Survey

Thank you for taking time to help us by filling out this short survey.

Sign in to Google to save your progress. Learn more

Have you ever been a Mojalet event before?

Yes

No

Clear selection

How did you hear about the project?

Friend

E-mail

Direct Marketing

Facebook

News Paper

Other:

Clear selection

Where do you live? - Zip Code

Your answer

Age:

Choose

1-12

13-18

19-25

26-35

36-50

51-65

65+

Ethnicity:

Your answer

email address:

Your answer

Name:

Your answer

Comments:

Your answer

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