HARC would like to connect clergy/faith leaders and their spouses/partners to one another through intentional and fun activities to build relationships, supports, and encourage care of self. Please help us to create opportunities for connection by filling out this survey and choosing activities that may be of interest to you.

* 1. Contact Information

* 2. Please check all that apply

* 3. "MIND" ACTIVITIES
Check all activities of interest:

* 4. "BODY" ACTIVITIES
Check all activities of interest:

* 5. "SPIRIT" ACTIVITIES
Check all activities of interest:

* 6. SIMPLE FELLOWSHIP ACTIVITIES
Check all activities of interest:

* 7. If you've checked multiple boxes in the above activities, please list one or two activities you are most interested in. 

* 8. Would you be willing to lead an activity?

* 9. How often would you like to engage in the above activities of interest?

* 10. Day of the week/time of day you are typically most available for the above activities of interest, or when you would be most likely to engage in an activity:

  Morning Afternoon Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

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