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Acts of Kindness
*
1.
Name
(Required.)
2.
Company (Not Required)
3.
Email
4.
Phone Number
5.
Date of Birth
6.
Did your company give you paid time to volunteer and/or perform Acts of Kindness?
7.
How many acts of kindness did you complete?
8.
Please check off which acts of kindness you completed for our community.
Participated in a local item drive happening on Day of Caring
Purchase a Wish List item for a local nonprofit
Clean up litter around our community
Return a stray shopping cart in the parking lot
Sign up for AmazonSmile
Create and send a thank you card to essential workers
Share a positive message online such as writing a positive review for a local business or nonprofit
Other (please specify)
9.
Please check off which acts of kindness you completed for someone you don't know.
Write letters of encouragement to clients at a nonprofit agency or medical facility
Leave a snack or drink for your mail carrier
Write a note to a deployed or wounded member of the military
Give a compliment
Pay for the person behind you in the drive thru
Leave a generous tip
Donate blood or plasma
Leave a book in a 'little free library'
Leave quarters at a laundry mat
Other (please specify)
10.
Please check off which acts of kindness you completed for your neighbors.
Mow your neighbor's lawn or help with yard work
Leave a nice message on your neighbor's car
Walk your neighbor's dog or leave a dish of water for them outside your house
Write kind chalk messages for your neighbors
Paint rocks with inspirational words and leave them for your neighborhood to find
Other (please specify)
11.
Please check off which acts of kindness you completed for a loved one.
Write a thank you card to someone who made a positive impact on your life
Record yourself reading one of your favorite childhood stories and send it to a child you know
Drop off a care or wellness package to a family member, friend, or co-worker in need
Write a poem for a family member
Share happy memories by mailing a photo to someone you love
Send a friend a funny video
Send someone flowers for no reason
Reconnect with an old friend
Other (please specify)
12.
Please check off which acts of kindness you completed at work.
Offer to help someone at work
Recommend or Give Kudos to a work colleague on LinkedIn
Be a mentor for someone
Other (please specify)
13.
Please check off which acts of kindness you completed for anyone.
Pass along a great book you have read
Make a meal for someone else
Give someone the benefit of the doubt
Offer to pick up groceries for someone you know
Wash someone else's car
Bake cookies for someone else
Teach someone your favorite recipe
Share discount coupons with someone else
Take 15 minutes to listen to someone intently
Make someone laugh
Forgive someone
Text someone a positive message
Other (please specify)
14.
Please check off which acts of kindness you completed for yourself.
Put a positive note on your mirror
Practice self-care such as meditate or take a nap
Write a gratitude list
Put your phone in a safe spot on silent and enjoy some no screen time
Other (please specify)
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.
16.
Please share the details or a story about the acts of kindness you completed.
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
.