Tikkum Olam at KHN Question Title * 1. Do you have children living at home with you? Yes No OK Question Title * 2. If you have children living at home, into which categories do your children fit: Newborn Preschool Age Elementary School Age Middle School Age High School Age Other OK Question Title * 3. Would you like to participate in a Tikkun Olam event with or without your children? With Without Both OK Question Title * 4. Do you not participate in social action events because your children keep you too busy? Yes No OK Question Title * 5. Here is a list of potential projects the Tikkun Olam Committee may work on in the coming year. Please rank them in the order of your interest, with “1” being your favorite: 1 2 3 4 5 6 7 Invite a family from a refugee community to your home for shabbat dinner. 1 2 3 4 5 6 7 Participate in our community’s efforts to support immigrants seeking sanctuary. 1 2 3 4 5 6 7 Prepare a meal for a refugee who is living in sanctuary. 1 2 3 4 5 6 7 Join the Committee for a clean-up day at a local park or help to preserve greenspace in Seattle. 1 2 3 4 5 6 7 Participate in a Mitzvah Day event, such as cooking a meal for a needy family, providing fall clean-up services at a local non-profit, etc. 1 2 3 4 5 6 7 Join a social action issue lobby day in Olympia. 1 2 3 4 5 6 7 Attend a lecture/presentation on a social action issue. OK Question Title * 6. Are you already participating in a social action project outside of KHN? Yes No OK Question Title * 7. If yes, would you like to have Tikkun Olam members join you in your project? Yes No OK Question Title * 8. If yes, please briefly describe the project: OK Question Title * 9. Are there other projects you can recommend for Tikkun Olam Committee participation? OK Question Title * 10. What days/times are best for you to attend Tikkun Olam Committee meetings? Weekday evenings (7 pm) Saturday mornings (10 am) Saturday afternoons (2 pm) Saturday evenings (7 pm) Sunday mornings (11 am) Sunday afternoons (2 pm) Sunday evenings (7 pm) OK Question Title * 11. Is there a particular weekday evening that works best for you? If yes, please identify OK Question Title * 12. Do you read the KHN newsletter e-mail every week? Yes No OK Question Title * 13. Are you connected with the KHN Facebook page? Yes No OK Question Title * 14. Are you interested in taking leadership on tikkun olam activities at KHN? Yes No OK Question Title * 15. If yes, do you need training in leadership skills and/or mentorship to be able to take the lead? Yes No OK Question Title * 16. If yes, would you like to receive that training and/or mentorship at KHN? Yes No OK DONE