Please complete survey ONCE (per household), either online or the paper version.

The first few questions are about YOU...the remainder are mostly about others, if any, in your household. Information will NOT be shared or given to any other entities/organizations. Information is only for OMPH Parish and Diocese of Harrisburg.

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* 1. Your First Name

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* 2. Your Last Name

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* 3. Your Age

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* 4. Your Gender

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* 5. Full USPS Home Mailing Address

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* 6. Email Address (if you use one regularly). Add emails of others in household here too if they wish to receive parish messages (separate by semi-colon)

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* 7. Landline Phone Number (if any)

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* 8. Cell Phone Number (if any)

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* 9. How many total people in your household?

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* 10. List here by name and birthdate (MM/DD/YY) everyone in your household including yourself. Separate with semi-colon. (If the person is not Catholic, indicate "NC" next to their name.

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* 11. Any special needs in the household i.e. (i.e. someone with a disability, homebound, or a mobility issue for instance)?

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* 12. How many years have you been a parishioner at OMPH?

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* 13. How often do you attend Mass at OMPH?

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* 14. Which Mass? (most of the time)

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* 15. If you have a child age Pre-K to 8th grade, and they are not enrolled at OMPH, please share your reason

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* 16. If you have Pre-k to 8th grade children, and they do NOT attend OMPH
School, do they attend Faith Formation/Religious Education classes at
OMPH Church?

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* 17. To meet the current and future needs of the parish, how would YOU prioritize by number the following proposed facility improvements: (use arrow buttons to change default priority order shown here up or down)

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* 18. Do you currently receive OMPH donation envelopes?

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* 19. Please share here any programs and ministries you have interest in that do not already exist

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* 20. Any other feedback or comment you wish to share regarding OMPH?

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