Neighborly Alliance Hendo Building Connection Together Community Interest Survey

Neighborly Alliance Hendo Building Connection Together Community Interest Survey
Contact Information
Name
Email
example@example.com
Phone (optional)
Please enter a valid phone number.Format: (000) 000-0000.
Neighborhood / Area (Flat Rock, Zirconia, Highland Lake Cove, etc)
1. Interests

For all Questions, please check any/all boxes that apply/appeal to you.
a. Connection & Activities
Other Connection & Activities (describe)
b. Spiritual / Reflective
Other Spiritual / Reflective (describe)
c. Life-long Learning and Skill Enhancement programs you would attend
Other Learning / Skill Enhancement (describe)
d. What other groups are you currently active in?
We'd love to know what groups you find worth your time
2. Service & Support

Please select all that apply.
a. What You’re Willing to Offer Others
Other/Describe
b) Support You Might Appreciate Receiving (now or in the future)
Other/Describe
3. Special Talents & Skills

Check any areas that you have knowledge in and are willing to share.
Special Talents & Skills
Other Special Talents & Skills (describe)
4. Level of Involvement

No commitment, yet...
How Involved Would You Like to Be?
Other Involvement (describe)
5. Next Steps

Please select your options below.
How would you like us to follow up?
Other Follow-Up Details (describe)
Anything else we should know?
Would you like to be kept updated on future events. You may opt out at any time.
Should be Empty:

1. Interests