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* 1. Name

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* 2. Company (Not Required)

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* 3. Email

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* 4. Phone Number

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* 5. Date of Birth

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* 6. Did your company give you paid time to volunteer and/or perform Acts of Kindness?

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* 7. How many acts of kindness did you complete? 

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* 8. Please check off which acts of kindness you completed for our community.

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* 9. Please check off which acts of kindness you completed for a stranger.

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* 10. Please check off which acts of kindness you completed for your neighbors.

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* 11. Please check off which acts of kindness you completed for a loved one.

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* 12. Please check off which acts of kindness you completed for a coworker.

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* 13. Please check off which acts of kindness you completed for anyone.

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* 14. Please check off which acts of kindness you completed for yourself.

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* 15. Help us understand how participating in the Acts of Kindness Challenge impacted you!

  Strongly Disagree Disagree Neither Agree nor Disagree Somewhat Agree Agree Strongly Agree
Participating in the Acts of Kindness Challenge made me feel joy.
I felt gratitude after sharing kindness with others. 
After participating, I am more aware of the impact I can have on others in my community.
I believe small acts of kindness makes a difference in the lives of others.
I enjoyed the activity and am glad this was a part of United Way's Campaign Kickoff and Day of Caring event.
I am thankful my place of work encouraged participation in the Acts of Kindness Challenge.

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* 16. Please share the details or a story about the acts of kindness you completed. 

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* 17. If you have a photo that you would like to share with us of your acts of kindness, please upload it here. By uploading a photo you are approving United Way of Sheboygan County's use of the image for future marketing materials and/or social media posts. If you have any questions, please contact katelyn@uwofsc.org. 

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UNITED WE RISE.

Thank you for participating in our Acts of Kindness Challenge.
You made a difference in someone's life!
To learn more about United Way of Sheboygan County, please visit www.uwofsc.org.

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