Men's Survey

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Nurturing Community for Black People

First Name

Last Name

Email

Phone

Which of the following topics MOSTS interests you?

Sports

Style and Grooming

Sex

Money

Mental Health

Games / Video Games

What is an event you would like to see take place?

What has been your favorite event thus far (if applicable)?

Would you recommend us to your friends?

Yes

No

Anything else you would like to add?

Thanks for submitting!