Family and Tzedakah Survey

Tzedakah and Family Survey (4 screens in total)

We want to learn what ideas and programs would be of interest to Dorotniks (and their spouse/partners) with kids in their lives! Please try to answer all the questions as best as possible. Some questions are 'optional' and noted as such. Of course, if you prefer not to answer a question, you can skip it and complete the rest of the survey.

ABOUT YOU AND KIDS IN YOUR LIFE
Year participated in Dorot (e.g. 2011-2012):
If you are the spouse or partner of a Dorot alum/na, please click the box below.
Spouse/Partner of Dorot Alum/na
- Spouse/Partner
Gender
Age
City of Residence
State of Residence
If you live outside of the U.S., please note the location below.
Relationship Status
RELATIONSHIP TO YOUTH
This Forum will attract individuals who are interested in the subject of Tzedakah and children. In order to better understand the Forum's appeal, please indicate your particular relationship to children. (Check all which apply).
- Parent/Guardian
- Family member other than parent
- Teacher
- Professional counselor
- Other professional or avocational capacity
Other Relationship to Youth
DESCRIPTION OF CHILDREN
If you are a parent, please use the few questions below to further describe your children.
Number of children
Gender of First Child
Age of First Child
Gender of Second Child
Age of Second Child
Gender of Third Child
Age of Third Child
Gender of Fourth Child
Age of Fourth Child

Contact Info (Optional)
If you'd be open to us contacting you to continue the discussion about the best type of programming for Tzedakah and Family, please share your name and email below.
Name
First Last
Email
Phone

Tzedakah and Family Survey (4 screens in total)

Step 1 of 4

ABOUT YOU AND KIDS IN YOUR LIFE

RELATIONSHIP TO YOUTH

DESCRIPTION OF CHILDREN

EDUCATION

TZEDAKAH INTERESTS OF THE FORUM

CREATING THE PROCESS FOR OUR CONVERSATION

Contact Info (Optional)

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