Outreach Survey

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1. What is the greatest need for our community?

What is the greatest need for our community? trash cleanup

vandalism prevention

better roads

neighborhood beautification

children activities

other

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2. How can we pray for you?

How can we pray for you?

3. What service could you benefit from most?

What service could you benefit from most? Food

Clothing

ramp

indoor painting

furniture

yard beautifucatin/clean up

other

4. Please check the basic needs relief organization you are aware of?

Please check the basic needs relief organization you are aware of? Lifeline Inc ------------------------812-235-8332

Vigo County Lifeline ----------------812-238-2620

Salvation Army ----------------------812-232-4081

Barbour Ave UMC CHurch Food Bank ----812-232-0322

St. Joseph's Church Food Bank--------812-232-7011

14th & Chestnut Community Center ----812-232-3126

Victory Christian Center ------------812-877-1502

Covenant Cooperative Ministry -------812-478-7799

5. Would you like to provide your contact information

Would you like to provide your contact information Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

6. Help us learn how to transform our community for a better tomorrow

Help us learn how to transform our community for a better tomorrow

Outreach
Exit this survey

1. Default Section

*
1. What is the greatest need for our community?

*
2. How can we pray for you?

3. What service could you benefit from most?

4. Please check the basic needs relief organization you are aware of?

5. Would you like to provide your contact information

6. Help us learn how to transform our community for a better tomorrow

OutreachExit this survey

1. Default Section

*1. What is the greatest need for our community?

*2. How can we pray for you?

3. What service could you benefit from most?

4. Please check the basic needs relief organization you are aware of?

5. Would you like to provide your contact information

6. Help us learn how to transform our community for a better tomorrow

Outreach
Exit this survey

*
1. What is the greatest need for our community?

*
2. How can we pray for you?