JFS Hanukkah Hampers 2020 Client Survey JFS Hanukkah Hampers 2020 Client Survey Question Title * 1. Please provide your name and contact information. Name Address Apartment buzzer number / entry code ("N/A" if not applicable) City/Town Province Postal Code Email Address Phone Number OK Question Title * 2. Please indicate your household makeup. Female Male Non-binary Prefer not to say Adults (Over 18 years) 0 1 2 3 4 5 Adults (Over 18 years) Female menu 0 1 2 3 4 5 Adults (Over 18 years) Male menu 0 1 2 3 4 5 Adults (Over 18 years) Non-binary menu 0 1 2 3 4 5 Adults (Over 18 years) Prefer not to say menu Children (0-18 years) 0 1 2 3 4 5 Children (0-18 years) Female menu 0 1 2 3 4 5 Children (0-18 years) Male menu 0 1 2 3 4 5 Children (0-18 years) Non-binary menu 0 1 2 3 4 5 Children (0-18 years) Prefer not to say menu Other (please specify) OK Question Title * 3. What are your child(ren)'s details? (0-18 years of age). Age Gender Clothing size Shoe size Child 1 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 1 Age menu Female Male Non-binary Prefer not to answer Child 1 Gender menu XS S M L XL XXL ------or------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other Child 1 Clothing size menu 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Other Child 1 Shoe size menu Child 2 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 2 Age menu Female Male Non-binary Prefer not to answer Child 2 Gender menu XS S M L XL XXL ------or------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other Child 2 Clothing size menu 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Other Child 2 Shoe size menu Child 3 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 3 Age menu Female Male Non-binary Prefer not to answer Child 3 Gender menu XS S M L XL XXL ------or------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other Child 3 Clothing size menu 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Other Child 3 Shoe size menu Child 4 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 4 Age menu Female Male Non-binary Prefer not to answer Child 4 Gender menu XS S M L XL XXL ------or------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other Child 4 Clothing size menu 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Other Child 4 Shoe size menu Child 5 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Child 5 Age menu Female Male Non-binary Prefer not to answer Child 5 Gender menu XS S M L XL XXL ------or------ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Other Child 5 Clothing size menu 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Other Child 5 Shoe size menu Other (please specify) OK Question Title * 4. Do your children have any favourite toys/games, sports teams, celebrities, colours, activities, etc? Please describe them so we can make the gifts more meaningful (i.e. dolls, art, music, reading, superheroes, sports, etc.). Any favourite stores, destinations, etc? (movie theatre, Playland, paintball, comic book store, etc.) Child 1 Child 2 Child 3 Child 4 Child 5 OK Question Title * 5. Please advise if there are any allergies in your family. OK Question Title * 6. Does your family keep kosher? Yes No OK Question Title * 7. Your hamper will be delivered to you. Is the delivery address the same as the address you gave above? Yes No OK FINISHED