New Cov 2020 Census Question Title * 1. What is your first and last name? Question Title * 2. Do you currently attend New Covenant Community Church? If you answer NO, your survey will end. Yes No Question Title * 3. Please provide the preferred contact information for yourself/head of household. Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Question Title * 4. Birth year of the head of household (optional): Question Title * 5. Add additional household members names and contact information *if applicable Name: Email address: Phone: Birth year: Name: Email address: Phone: Birth year: Name: Email address: Phone: Birth year: Name: Email address: Phone: Birth year: Question Title * 6. Please tell us your cell phone provider. (ATT, T-Mobile, Verizon, etc...) Question Title * 7. During the Covid19 crisis, have you been able to connect with us online? Yes No Question Title * 8. Which methods have you used to connect online with us? Facebook Zoom You Tube Instagram Twitter Vimeo New Cov Website Pastor's letters Daily devotionals from the Pastors Women's Bible Study Adventureland/Surf Men's Bible Study Rain/180 Aftermath Celebrate Recovery Wednesday Night Small Groups Wednesday noon time prayer on Facebook LIVE LIVE Friday night worship on Facebook Question Title * 9. Do you or your family need anything at this time or have any prayer requests? Question Title * 10. Please use this area for any additional comments or suggestions you may have. Done
