Church Raffle Questionnaire

Full Name

Your Age

Email Address

Phone Number

How long have you lived in this community?

What religious family do you belong to or identify yourself most close to?

Do you consider yourself to be committed to your religious teachings?

How many times do you attend religious services or ceremonies at your place of worship?

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How far is your current place of worship from your home?

How often do you turn to your religion to help you deal with problems in your life?

Which of the following do you feel religious centers/churches should assist with? (Select up to 3)

Food Security (e.g., food pantry, community meals, meal delivery)
Family & Youth Support (e.g., after-school programs, childcare, tutoring, youth activities)
Senior Care & Outreach (e.g., home visits, tech help for seniors)
Housing & Homelessness Relief (e.g., temporary shelter support, housing supplies, emergency aid)
Mental Health & Wellness (e.g., support groups, counseling services, addiction recovery)
Employment & Financial Literacy (e.g., job training, resume help, budgeting workshops)
Community Connection & Events (e.g., neighborhood gatherings, sports leagues, cultural events)

What specific challenges are you or people in your neighborhood facing right now?

What types of practical assistance would be most valuable to you/your family? (Check all that apply)

Direct relief (groceries, clothing drives, emergency financial assistance)
Education & Skill Building (workshops, ESL classes, financial literacy)
Emotional & Spiritual Care (support groups, prayer requests, grief counseling)
Space & Resources (meeting rooms for local groups, public internet access, community garden)

How can the church best coordinate and communicate these resources to the neighborhood?

Additional Comments or Ideas