RY Membership Survey 2017
We'd like to get to know our members better, and find out what you think about our services.

Anyone can fill this is, so long as they've interacted with RainbowYOUTH and our services in the past year.

PS - EVERYONE WHO FILLS IN THE SURVEY GOES INTO THE DRAW TO WIN A $50 Prezzy card (2 up for grabs)

Email address *
About You
Firstly, what pronouns do you use?
Your answer
What words to you use to describe your gender identity & sexual orientation?
Your answer
What age range do you fall into? *
Ethnicity (Please select all that apply) *
Required
Where in Aotearoa are you located? *
Next
Never submit passwords through Google Forms.
This form was created inside of Rainbow Youth. Report Abuse - Terms of Service - Additional Terms