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Wholly Men
Divine Masculine Activated
DMA Branded Merchandise
Home
Membership
Web Series
Wholly Men
Divine Masculine Activated
DMA Branded Merchandise
About Us
Blog
Youth
Contact Us
A men's collective helping you connect with your passions, higher self and community.
YOUTH EMPOWERMENT SURVEY
Thanks you for participating in a Mastermind Connect Youth Empowerment event.
Please complete the survey below to help us learn more about you and continue to improve our programing.
Name
*
First Name
Last Name
Email
*
Age
*
Edad
Zipcode
*
Codigo postal
Name of the School or Program you attend
*
Nombre de la escuela o programa en el cual participas
Do you have any siblings?
*
Tienes hermanos o hermana?
Yes
No
If yes, are you the oldest, middle or youngest child?
Eres el mayor, medio, o menor de tus hermanos?
Oldest/mayor
Middle/medio
Youngest/menor
What City and Country were you born in?
*
En qué ciudad y país naciste?
If you were born in the USA, are you first generation American?
*
Si naciste en los Estados Unidos de America, eres el primero de tu familia en hacerlo?
Yes
No
Not Applicable
Do you have to translate for your parents often?
*
Tienes que traducir por tus padres con frecuencia?
Yes
No
Is there anyone in your family who suffers from diabetes, high cholesterol, or blood pressure?
*
Tienes alguien en tu familia que sufra de diabetes, colesterol alto, o alta presion de sangre?
Yes
No
How satisfied are you with this Mastermind Connect event?
*
Que tan satisfecho estas con este evento de Mastermind Connect?
Satisfied
Very Satisfied
Neutral
What was your favorite part?
*
Cual fue la parte favorita?
Would you like to attend other events with us?
*
Te gustaria participar en otros eventos con nosotros?
Yes
No
Maybe
Thank you!
