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What is your name?
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What is your address?
What is your address?
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What is your phone number?
What is your phone number?
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How would you prefer to receive communication from us?
How would you prefer to receive communication from us?
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On a scale of 1 to 10 (10 being the highest) how familiar are you with HOM?
How and when did you come to learn about HOM and to become a donor?
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What aspect of our ministry appeals most to you?
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Do you attend a church?
Do you attend a church?
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Which church do you attend?
What changes would you like us to make to our newsletters?
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What changes would you like us to make to our website?
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Would you have interest in being added to our email prayer chain?
Would you have interest in being added to our email prayer chain?
Yes
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What is your email?
In what year were you born?
Have you ever been to Haiti?
Have you ever been to Haiti?
Yes
No
Would you have interest in going again?
Would you have interest in going again?
Yes
No
Would you have interest in going?
Would you have interest in going?
Yes
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Under what circumstances?
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Any other comments, questions, or recommendations:
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Would you like me to call you to discuss any questions or concerns?
Would you like me to call you to discuss any questions or concerns?
Yes
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Please provide me a phone number and preferred time
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Time
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