2 minutes to complete
To be eligible to complete the Token Gated Chat Access Request Form, one must be an active participant in the blockchain and cryptocurrency community. A potential user must possess a certain amount of specific tokens in their wallet, which varies according to the rules set by the community.
Name
What is your Bitcoin wallet address?
Please connect your wallet and sign the message to verify ownership. NOTE: connecting your wallet will not trigger a transaction or cost any gas fees.
Please select the reason why you want to join the platform
How did you hear about our chat platform?
Please provide a brief introduction about yourself and your interest in joining the chat:
I confirm that the information provided above is accurate and true to the best of my knowledge.
BlockSurvey is a privacy-focused platform for collecting data through forms, surveys, assessments, and quizzes. The data collection is end-to-end encrypted, and it ensures complete privacy of your audience from Big Tech. With an array of ready to use templates, it is tailored for the needs of businesses and individuals from Web 3, HR, Mental Health, Sexual Health, Activism and many sensitive areas where data collection needs protection.