Please take 1 minute to fill out this short form so we can get to know you and tailor the experience to your needs.

Your information will be kept confidential and used only for workshop participation and communication purposes.

Section 1: Let's Stay Connected!

First Name *

Last Name

Email *

Phone

Age Range *

15–19 years old

20–24 years old

25–29 years old

Other

If you choose other, please share below

City / Province

How did you hear about this virtual workshop?

Social Media

Friend or Mentor

Google

School/Community Group

Women Focus Canada

Mastercard Canada

Which social media platforms do you use most often?

Instagram

Facebook

Youtube

Section 2: What You’d Like from the Workshop?

How would you like to feel more often when you’re online?

Safe

Good about myself

Confident I can keep myself safe

Confident and not second-guessing what I post

Real online and don’t have to say things just to be liked

Connected to a community of people that like and value me

What’s one thing you’d love to learn to improve your digital life?

How to spot fake accounts and know who I’m really talking to

How to recognize scams so I don’t get tricked or pressured

What to do if something unkind happens to me or someone else online

Other

You chose other? Share your thoughts below!

Section 3: Consent & Connection

I understand that this is a virtual event and that photos or clips may be used to let people know about Women Focus Canada programs and what people find valuable about them.

I’d like to receive follow-up materials, digital resources, and future learning opportunities from Women Focus Canada.

Is there anything else you’d like to ask or share with us?