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Generational Mindset Inc Service Inquiry Survey
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1
Personal Information
Full Name
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2
Which services are you interested in?
(Please select all that apply)
Youth Mentorship Program
Academic Support Services
Mental Health Awareness Workshops
Career Development and Job Training
Arts and Creative Expression Programs
Community Outreach and Advocacy
Other (Please specify)
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3
How frequently would you like to participate in our programs?
Daily
Weekly
Monthly
Occasionally
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4
What days and times are you generally available?
(Please select all that apply)
Weekdays (Mornings/Afternoons/Evenings)
Weekends (Mornings/Afternoons/Evenings)
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5
Are you interested in any virtual programs or services?
YES
NO
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6
Do you have any specific goals or outcomes you hope to achieve through our programs?
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7
Do you have any questions or concerns that you would like us to address?
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8
How did you hear about Generational Mindset Inc?
Friend/Family
Social Media
Website
Community Event
Other
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9
Do you have any additional feedback or suggestions for us?
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