Jewish Community Survey

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.

What type of adult education classes interest you? Check all that apply.

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	Country

Marital Status

Married Single Looking for a shidduch

Age of Children (if applicable)

0-12 13-17 18-30 30-60