Nanak Naam Group Mapping Form

1

Your full name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Phone

Please enter a valid phone number.

4

Country

5

City* This field is required.

6

State / Province

7

Is your group an in-person or online

in-person

online

a mix of in-person and online

8

Are you the host / facilitator of this group

Yes, I am the host / facilitator

No, I am a participant

I co-host

Not yet - but I want to host

9

Who is the host / facilitator of your group? (name and/or email)

10

Where does (did) your group meet? (e.g., home, gurdwara, community center, Zoom, Google Meet, etc.)

11

What’s the status of your group?

Active

On temporary pause

Dissolved

Never Launched / Still Planning

13

How long has your group been running?

Less than a year

1–3 years

3+ years

None

14

On average, how many people attend?

15

What challenges have you experienced running or starting a group?

16

Country

17

Would you like support with launching or strengthening your group?* This field is required.

Yes — launching

Yes — strengthening

Maybe / not sure

No