Events Response Form

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Events Response Form

In order to provide a comfortable environment and safe place for everyone, we would like to extend this anonymous form so that we, as the palana board, are aware of any misdemeanor or concerning situations that occur either with palana members or in the house.

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* Indicates required question

What's on your mind? *

Your answer

When and at what event did this occur? *

Your answer

Do you want to meet with us to discuss further implementations? *

yes

no

If so, what is your email address?

Your answer

Suggestions for resolving this issue? *

Your answer

I have a concern as a:

palana house resident

palana social member

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