UMOJA Family Game Day

December 2025

Call Us

UMOJA Family Game Day

December 2025

Call Us

Section 1: Who’s at the Table?

Tell us a little about yourself. This helps us understand who’s participating in the dialogue.

Full Name

Optional

Age Range *

Are you attending as a *

Was this your first time attending a program like this?

Yes

No

Reflections on the Book

We’d love to know how the book discussion impacted you—emotionally, intellectually, or personally.

RATING SCALE

1 – Not at all meaningful
2 – Somewhat disconnected
3 – Neutral / Okay
4 – Enjoyable
5 – Deeply meaningful

On a scale of 1–5, how engaging was today's book discussion? *

What part of the book discussion stood out to you most?

Did the book help you think differently about your own history, family, or future? *

Yes

No

Section 4: Building Across Generations

Our goal is to bridge the generational divide. Did you experience that today?

Did you speak with someone today from a different generation than your own? *

Yes

No

What did you learn, hear, or feel during that exchange?

Did today's event make you feel more connected to your community? *

Yes

No

Not sure

Explain your answer:

Section 5: Your Voice Matters

Every story, moment, and feeling counts. Your feedback helps shape the future of this program.

What was your biggest takeaway from today’s event?

How would you describe this experience to a friend or family member?

Would you attend again? *

Yes

No

Anything we can do to improve future sessions?

Can we follow up with you for a story or testimonial about your experience? *

Yes (please provide your name + contact info)

No, I prefer to remain anonymous

If you said Yes to sharing a story or testimonial, please leave your name and contact info below so we can follow up with you

STAY IN TOUCH

ADDRESS: Las Vegas | North Las Vegas | Henderson

PHONE: 510-967-1124

CONTACT US

Get in touch with us, we're here to help you get connected

VOLUNTEER

Let us know your availability

Connect with us and stay up-to-date!

STAYCONNECTED