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Community INTEREST Survey
If the following programs/resources were available in my area, I would be interested in more information:
BODY
*
Natural treatment resources for better health
Healthy cooking classes
MIND
*
Depression recovery
Grief recovery
Parenting/Relationship seminar
SPIRIT
*
Free resources to find inner peace
Someone to call me and just pray with me
Spiritual growth through Bible Study
*
In person
Group setting
Online
Correspondence
I have needs that were not listed above:
*
Upload picture of physical survey card (Optional)
*
Max file size: 20MB
Upload picture of back of survey card (Optional)
*
Max file size: 20MB
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
EMAIL
*
PHONE
*
Please remember to click on the SUBMIT button at the bottom of the page.
SUBMIT INTEREST SURVEY
Home
About
Survey
Sponsor
Donate
Contact
Apply