Consent Summit Survey
Thank you for taking the time to fill out our Consent Summit survey. The National Coalition for Sexual Freedom and several Portland based community partners are preparing to host a Consent Summit for the regional NW in the Spring of 2019. Your feedback is invaluable as we begin our planning process. Your responses are confidential and will be used exclusively for the purposes of developing this summit.
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Would you participate in a NW Regional Consent Summit sponsored by the National Coalition for Sexual Freedom (NCSF) and a broad coalition of local community organizations, businesses, and universities in Portland, Oregon?
Absolutely!
Very Likely
Maybe
Unlikely
No, Not Interested
Row 1
About You
Please give us a few details about yourself.
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How did you hear about this survey?
Your answer
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First and Last Name (or anonymous)
Your answer
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Email
Your answer
Phone
Your answer
Gender Identity
Your answer
Age Range
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Zip Code
Your answer
If you are affiliated with a NW organization, college/university, business, or group please provide their name here.
Your answer
Would your group or organization like to partner with us in creating/hosting the Consent Summit? (if yes, we will follow up with you to discuss more details)
Logistics
The following questions will help us in structuring the Consent Summit.
How long would you want the Consent Summit to be?
Would you prefer the Consent Summit be consolidated in a single location or community based? (a single location would be like a traditional conference or convention; community based would have some activities in a central location and other activities in nearby community spaces)
Participation
How would you like to participate in a regional Consent Summit? (please check all that apply)
If you think we should invite a someone to be a speaker or workshop presenter, please provide their name, email, and/or phone number.
Your answer
Topics
Regarding how consent relates to different communities and issues, please mark five topics you would most want to see addressed at the Consent Summit.
Thank you!
Please feel free to leave us a short message.
Your answer
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