Survey Purpose

It has been over 2 years since we conducted the last Neighborly Help Survey to better meet the needs of the Roseheart Community. There has been a lot of turnovers in residents since that last survey in 2024 as well as health issues of previous volunteers. Categories along with applicable names will be posted on the Password Protected portion of the Roseheart website ust like in the past. Households with more than one person may select different categories for each person. In addition, you can add other categories that you would like to see be listed and comment on whether you would be willing to help in that additional category. If you have any questions, you may contact Leni Pabliona or Tony Adamcik. Request completion of survey by February 25th so we can have results posted by early March 2026.

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* 1. NAME OF FIRST PERSON

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* 2. ADDRESS

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* 3. CONTACT TELEPHONE NUMBER

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* 4. WHICH CATEGORIES BELOW WOULD YOU BE WILLING TO OFFER YOUR HELP? (You can choose multiple categories)

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* 5. ARE THERE ANY OTHER ACTIVITIES AS THE FIRST PERSON THAT YOU WOULD LIKE TO SEE OFFERED AS PART OF NEIGHBORLY HELP?

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* 6. NAME OF SECOND PERSON AT ABOVE ADDRESS

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* 7. CONTACT TELEPHONE NUMBER (if different from above)

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* 8. WHICH CATEGORIES BELOW WOULD YOU (as the 2nd person) BE WILLING TO OFFER YOUR HELP? (You can choose multiple categories)

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* 9. ARE THERE ANY OTHER ACTIVITIES AS THE SECOND PERSON THAT YOU WOULD LIKE TO SEE OFFERED AS PART OF NEIGHBORLY HELP?

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* 10. ANY COMMENTS?

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