Skip to content
Q3 Fraternal Campaign Participation Survey
*
1.
Please provide your first and last name (activities coordinator/YSC leader name)
(Required.)
First name
Last name
*
2.
Please list your chapter, Summit chapter and youth service club numbers that hosted a campaign activity. (Please list all that apply each on a separate line).
(Required.)
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
Chapter or YSC number
*
3.
Please indicate the total amount of children reached/impacted. (all chapters/YSCs combined)
(Required.)
*
4.
Rate how much you enjoyed hosting and participating in this campaign activity.
(Required.)
Did not enjoy.
1 star
It was okay.
2 stars
It was enjoyable.
3 stars
Loved it!
4 stars
5.
Do you have additional comments?
