elech short form

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Welcome!

Filling our this very short form helps us make elech better!

3Questions

1
What's your unique identifier code?* This field is required.To make your code, use the day of the month you were born, and the last letter of your last name.
2
How likely are you to recommend elech to a friend?* This field is required.
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Not Likely
Very Likely
3
at elech, I feel connected to...* This field is required.please select how connected you feel to your own personal identity or sense of self
Quite a bit
Somewhat
Not really
Not at all
N/A
My Queer Identity
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
My Jewish Identity
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
My Intersectional Jewish & Queer Identity
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
My Queer Identity
My Jewish Identity
My Intersectional Jewish & Queer Identity
Quite a bit
Row 0, Column 0
Somewhat
Row 0, Column 1
Not really
Row 0, Column 2
Not at all
Row 0, Column 3
N/A
Row 0, Column 4
Quite a bit
Row 1, Column 0
Somewhat
Row 1, Column 1
Not really
Row 1, Column 2
Not at all
Row 1, Column 3
N/A
Row 1, Column 4
Quite a bit
Row 2, Column 0
Somewhat
Row 2, Column 1
Not really
Row 2, Column 2
Not at all
Row 2, Column 3
N/A
Row 2, Column 4
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