ESUC Resources and Needs Survey
Serving you and our community during COVID-19
Name *
Full name or family name
Email Address *
Primary Phone Number
Home Address
Assessment of Communication
Check all that apply
Assessment of Your Situation
Check all that apply
Check all the ways you're available to help fellow congregants and church leaders
Check the kinds of help you currently need from church
I have filled out this form before. This is an update to my previous submission. *
Is there anything else you want us to know?
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