(401)j Got Shabbat: Host Survey Question Title * 1. Please provide your contact information. Name: * City/Town: * State: -- 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 Email Address: * Phone Number: Question Title * 2. Are you Shabbat Observant? Please explain. Yes No Please explain. Question Title * 3. How many guests are you willing/able to host? 4 5 6 7 8+ please list exact amount Question Title * 4. What type of meal would you prefer to host? Potluck Home-cooked (food prepared in your home) Vegetarian Kosher Meat Dairy Other/ Please Explain Question Title * 5. Would you need or want any religious materials? i.e. Benchers, handouts of the prayers, shabbat candles, discussion topics, etc. Yes No If yes. Please explain what you need. Question Title * 6. Do you anticipate the need for a modest subsidy? Yes No If yes. Please explain. Question Title * 7. How can you ensure guests will be able to find your house on Shabbat? Doorbell Knock on door Leave door open Watch for guests Do you have any specific instructions? Question Title * 8. What dates are you available to host?(you can sign up for as many as you want!) July 11, 2014 July 18, 2014 July 25, 2014 August 1, 2014 August 8, 2014 August 15, 2014 August 22, 2014 August, 29, 2014 September 5, 2014 September 12, 2014 September 19, 2014 Other (please specify) Next
