Valley of Southern Illinois Member Interests Survey
I am a member of the Valley of Southern Illinois
*
Yes
No
_________
This survey is being conducted to help determine the interests of the members of the Valley of Southern Illinois. We want to see where the interests lie among our members so we can create events and establish groups where like-interests will encourage involvement, partnership, fellowship, and enable an overall sense of belonging to our fraternity. Please check all of your “interests” listed below to help us assess the interests of our membership. At the end of the list, identify what your top three interests are among those listed, or perhaps you’ve identified something not on the list provided.
Cars
auto body
auto mechanics
auto restoration
car shows
Cerebral
history, art, music, etc.
reading
trivia
writing
Collecting
coins
guns
stamps
other
Sports
basketball
golf
horseshoes
softball/baseball
washers
darts
Crafts/Hobbies
carpentry/woodworking
leather working
jewelry making
photography
real estate
refinishing furniture
home brewing
home wine making
wood carving
Domestic Skills
cooking
gardening
plumbing
electricity
yard work/landscaping
Physical Fitness
bicycling
jogging/running
swimming
walking
weight lifting
Gaming
board games
cards
video games
Recreation
boating
camping
fishing
flying/soaring
hunting
shooting
archery
motorcycles
Research
genealogy
investing
Talent
drawing/painting
music singing/instruments
Technical
computers
electronics
multimedia
Volunteering
kitchen
lighting/sound
ritual
stage
directing
Other areas of interest not listed
My #1 Interest
My #2 Interest
My #3 Interest
The following information is Optional:
Member Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
My Phone Number
-
Area Code
Phone Number
E-mail
Age
Marital Status
Please Select
Married
Single
I live approx ___miles from the Valley
I have been in Scottish Rite for __ years
My Primary Blue Lodge:
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