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The Salvation Army North Boroughs
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Age
18-25
26-35
36-45
46-55
56-75
76 or older
Gender
Female
Male
Prefer not to say
How many adults live in your household?
Your answer
How many children (under 18) live in your household?
Your answer
In your opinion, what is your community's greatest need/concern?
Your answer
Have you ever received assistance from The Salvation Army?
Yes
No
Clear selection
If yes, how has it impacted your family?
Your answer
Are you aware that The Salvation Army is a church?
Yes
No
Clear selection
Do you currently attend church?
Yes
No
Clear selection
What types of “free” programs and assistance would interest you, please check all of the ways that apply:
youth programs
summer camp
emergency food assistance
seasonal help (Christmas toys, Thanksgiving, Back to School)
Project Bundle Up program (new warm winter outerwear)
music programs
GED/Continuing Education/literacy programs
church
couple's ministry
Men’s and women's group
Bible study
community dinner/ community events
volunteering
expressive art
exercise classes (all levels)
outdoor adventure
A safe place for children to attend cyber school
Other:
Would you like someone from The Salvation Army to contact you regarding this survey?
Yes
No
Clear selection
If yes, please provide the best phone number to be reached at:
Your answer
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