How concerned are you that gun violence will impact the health and safety of you and/or your family members? *
How much do you feel is being done to address the violence that is happening in your neighborhood/school/classroom? *
What do you think would make your school, classroom, and/or community safer for you? Is there anything you would like to add to this conversation or share with us about your experience with violence? *
What is your name and contact information? (email and/or phone number for you or your parent/guardian) *
Please know that your survey responses will be kept fully anonymous, but that this is required to ensure survey accuracy
Would it be alright if we contacted you to follow-up on this survey? *
Never submit passwords through Google Forms.
This form was created inside of Legacy International Worship Center. Report Abuse