Living Room Conversations · Feedback: General

Name

*

First Name

Last Name

Email

*

Verify Email

*

Did you host this conversation?

*

Yes

No

Have you participated in the Living Room Conversations Host Certification program?

Yes, completed

Yes, in progress

No

Was this your first Living Room Conversation?

*

Yes

No

Demographics

This set of optional demographics questions helps Living Room Conversations better understand the people who are using our guides. You will only be asked these questions after your first conversation.

How did you hear about Living Room Conversations?

Zip code

Gender

Man

Non-Binary

Woman

Not Listed

Age

Race

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Not Listed/Other

What is your social political leaning?

Left

Center

Right

What is your economic political leaning?

Left

Center

Right

Please answer these next questions based upon your most recent conversation

Topic

*

Which of the options best represents the conversation you had?

Single Conversation

One part of a conversation pathway

We regularly have conversations with this group or community

What impact have these conversations had on you and/or your community? Or what action might you take as a result?

Setting of Conversation(s)

*

Faith community

School

Library

Workplace

Neighborhood/Community

Family/Friends

Other

What is the course subject?

Faith Community

Where?

Was this conversation private or open to the public?

Private Invitation

Public

Where did you have this conversation?

In-person

Online - Kazm

Online - Zoom

Online - Other

I have a greater understanding of views and experiences that differ from my own

Agree

Stayed about the same

Disagree

The conversation guide and agreements were helpful in having this conversation.

Agree

Disagree

How likely would you be to recommend a Living Room Conversation to a friend, coworker, or family member?

Is there anything else you'd like us to know? We appreciate hearing what went well and what we can improve!

Include anything about our guides, process, etc.

Would you be interested in participating in a focus group, interview, survey, or other research related to Living Room Conversations.

Yes, you can contact me for more information about my experience.

No, please do NOT contact me.

Would you like to receive our weekly newsletter?

*

Yes

No

I'm already on the list!