Arms Around Survey
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Caring For Each Other at People's Church

Please fill out your name, email address, and phone: Name:
Email Address:
Phone Number:

Yes, I'm willing to help with the following (please check all that apply): Provide food (casseroles, salads, soups, desserts, etc.)

Deliver food provided by others

Transportation to doctors appointments, hospital, store, and church

Provide respite care for care-giver (2 to 3 hours)

Babysit in special situations (2 hours or more)

Hospital/home visits

Hospice visits

Visit members who are confined to their homes

Visit families with new babies

Assist people who need help during the church service

Help with food, setup, clean-up, or ushering at memorial services

Provide short-term help with simple repairs/clean-up to members in need

Send cards

Respond in an emergency within my ability

Check in regularly with those who would like or need contact, and members no longer able to attend services or activities

Yes, I am willing to provide more intensive support Become a "trained listener" to work one-to-one with someone in transition

Be part of a "support circle" for someone needing longer-term support (several months to a year)

Facilitate special support groups as needed (e.g.: depression, caregivers, other)

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