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* 1. First Name

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* 2. Last Name

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* 3. Email

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* 4. Parish Name

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* 5. Please estimate the percentage of members in your parish within the following age groups. Please write a whole number without the percentage sign. 

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* 6. How does your parish use the experience and skills of older members?

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* 7. What ministries, programs, or events has this parish held for older adults?

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* 8. Which accommodations does your parish have for those who are physically challenged?

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* 9. What other forms of outreach does your parish provide for older adults in your community?

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* 10. How can the Diocese assist your parish to better support your older members?

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