Thank you for your interest in starting a Kids' Supper Club program in your community. The survey on the next page is to help us understand where you are so that we can work with you better each step of the way. We want to again emphasize there are no wrong answers. Different individuals and groups are at different stages. The most important thing is to be honest. We hope that the readiness survey will become a tool and personal road map for your community and efforts to create a Kids' Supper Club.

On behalf of Kids' Supper Club we sincerely appreciate your willingness to help children in your community.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Email address:

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* 4. Phone number:

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