Community Helper Platform Survey
Hi there! We are conducting a survey to better understand the challenges People face with managing everything they do everyday and how community support can play a role. Your insights will help us identify potential solutions to improve daily life in our community. The survey will take about 5 minutes to complete, and your responses will remain anonymous. Thank you for your participation!
Sign in to Google to save your progress. Learn more
What is your age group?
Clear selection
What is your gender?
Clear selection
What is your current employment status?
Clear selection
Which household tasks do you often need help with? (Select all that apply)
How do you manage these tasks today?
On a scale of 1 to 5, how difficult do you find managing these tasks?
Very easy
Very difficult
Clear selection
Contact Information (Optional)
If You would like to be contacted with information about the solutions we develop, please provide your contact information below.
Name
Email Address
Phone Number:
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

Google Forms