Dear Friend, Chabad NP has been proudly serving the Jewish community for over 16 years and we look forward to doing so for many years to come. Please take a moment to help Chabad NP do an even better job by filling out this brief survey. Thank you very much for your support. Rabbi Yossi Marcus Please note that survey replies are kept private. What program(s) do you most enjoy at Chabad NP? Check all that apply. Camp Gan Israel Holiday Events Adult Education/ Lecture Series Synagogue Chai Preschool Hebrew School Jewish Women's Circle What type of adult education classes interest you? Check all that apply. Jewish History Mysticism Talmud Hebrew Reading Jewish Law and Practice Character Development Chabad NP's teen initiative partners with Jewish Clubs during lunchtime at several local high schools. Are you interested in having Chabad brought to your child's high school? Yes, I'd love that! Chabad is already involved at our child's school's Jewish club. My kids are not in high school. Do you have a parent or elderly relative in this or any other community who would welcome a visit from a Rabbi? Please list them below. Would you like Chabad to help you install or check a mezuzah (or mezuzot) in your home? Please contact me about getting a mezuzah (or additional mezuzot) for my home. I have a mezuzah and I would like someone to come and check to make sure it is kosher. No thank you. Would you be interested in joining Chabad on a community trip to Israel? I'm interested in joining a community trip. I am not interested in a community trip to Israel at this time. Have you considered leaving Chabad NP or the Chai Preschool in your will? I plan to include Chabad NP or the Chai Preschool in my will. I would like more information about including Chabad NP or Chai Preschool in my will. I am not interested at this time. Is there something Chabad NP can help you with personally? How would you describe the benefit(s) Chabad NP has brought to you and/or the community? Please add any other comment you would like to share: Full Name* First Name Last Name E-mail Phone Number Area Code Phone Number Address Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States 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 People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic 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 Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar 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 Spain Sri Lanka Sudan Suriname Svalbard Swaziland 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 Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country Marital Status Married Single Looking for a shidduch Age of Children (if applicable) 0-12 13-17 18-30 30-60 Submit Should be Empty: This page uses TLS encryption to keep your data secure.