Jewish Community Survey - Chabad of Madison

Dear Friends,

Chabad of Madison proudly serves our local community with loving kindness. 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.

Rabbi Matusof

What do you most enjoy about Chabad of Madison?

What type of adult education classes interest you?

Do you have a child or grandchild away at college? Let Chabad invite your student to enjoy Shabbat dinner, meet new friends, and renew Jewish values. Please share their information and we will do the rest.

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 Chabad of Madison in yours?

I have already included Chabad of Madison in my will.I would definitely include Chabad of Madison in my will.I would probably include Chabad in my will.I would like to speak to someone about including Chabad of Madison in my will.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?

What would you suggest we do to enhance the success of Chabad of Madison?

Full Name*If you would like to remain anonymous, please write your name as anonymous.

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

MarriedSingleDivorcedLooking for a Shidduch!

Age of Children

On a scale of 1 to 10 would you recommend Chabad to other people?