Online Survey Software | Qualtrics Survey Solutions

Please provide us with the following information (note: we're asking for your phone number in case you are having technical difficulties and require help to get into the Zoom session--we won't use it for anything else):

First name:

Last name:

Email address:

Phone number:

Choose a role that best describes yourself:

This play will be performed as a live reading via Zoom--have you used this application before?

Yes
No
Maybe

What device do you plan to use to join the Zoom meeting:

Computer/laptop
iPad/tablet
Smart phone
Other:

What is your computer/device operating system?

iOS (Mac)
Windows (PC)
Ubuntu
I don't know

What is your iPad/tablet operating system?

iOS (Apple/iPad)
Android
ChromeOS (Chromebooks)
Other:

What is your smart phone operating system?

iOS (Apple/iPhone)
Android (Samsung)
ChromeOS (Google Pixel)
Other: