Jewish Community Survey - Chabad of Northeast Portland

- Chabad of Northeast Portland has been proudly serving our community for 5 years!
  We would LOVE to hear your feedback on how we can serve you better.
  This survey will give us a better idea of how we can serve you best. As you answer the following questions, please remember, we keep all replies confidential.
  THANK YOU!
What do you most enjoy about Chabad of Northeast Portland?
Friday Night DinnersHebrew SchoolAdult Education/ Lecture SeriesOur warm community atmosphereWomens' Rosh Chodesh Society
What type of adult education classes interest you?
Jewish HistoryMysticismTalmudHebrew Reading
Do you have a child or grandchild away at college? Let us get your student invited to enjoy Shabbat dinner, meet new friends, and renew Jewish values. Please share their information and we will do the rest.
CTeen, Chabad of Northeast Portland's Jewish Teen Network, hosts Jewish Clubs during lunchtime at many high schools. Are you interested in having CTeen brought to your child's high school?
Yes, I'd love that!Our child's school already has a CTeen 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.
Do you have a mezuzah on the door of your home?
No, please contact me about getting a mezuzah for my home.Yes, I have a mezuzah and I would like someone to come and check it.No thank you.
Many people like to leave a gift to charity in their will. Would you consider leaving the Center for Jewish Life & Chabad of Northeast Portland in yours?
I have already included Chabad of Northeast Portland in my willI plan on including Chabad of Northeast Portland in my will.I will consider leaving Chabad of Northeast Portland in my will.I would like to speak to someone about it.I am not interested at this time.
Have you ever been to Israel? Would you be interested in joining Chabad on a community trip to Israel?
I have not been to Israel and I'm interested in joining a community trip.I have already been to Israel and I'm interested in joining a community trip.I am not interested in a community trip to Israel at this time.
How has Chabad touched your life?
In short, what do you think we can do to better serve you?
Full Name*
First NameLast Name
E-mail
Phone Number
Area CodePhone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Marital Status
MarriedSingleDivorcedWidow/WidowerLooking for a Shidduch!
Age of Children
0-1213-1718-3030-60No Children
Should be Empty: