Dear Friends, Chabad of the Beaches proudly serves our local community with loving kindness. Our annual survey gives 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 Eli & Beila GoodmanWhat was your most memorable Jewish experience?Family Seder at PesachLighting Chanukah CandlesShabbat DinnerVisiting IsraelIs there any one person, past or present, who "lit the spark" that began your Jewish journey?What inspires you to lead a more Jewish life?Which activities at Chabad of the Beaches do you most admire?Ckids ProgramsAleph AcademyCTeen ProgramsLife-Cycle EventsAdult EducationWomen's EventsInteractive High Holiday ServicesWhich one of these Mitzvahs would you like to learn more about?Learning about Kashrut (keeping kosher)The laws of Family PurityHow and why to light the Friday night candlesWhy we put a Mezuzah on our doorHow and why we put on TefillinAre you or a loved one undergoing a major medical procedure within the next few months? Can we offer support to you and your family?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 have already been to Israel and I'm interested in joining a community trip.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 restMany people like to leave a gift to charity in their will. Would you consider leaving Chabad of the Beaches in yours?I have already included Chabad of the Beaches in my will.I will definitely include Chabad of the Beaches in my will.I would probably include Chabad in my will.I would like to speak to someone about including Chabad of the Beaches in my will.I am not interested at this time.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.What would you suggest we do to enhance the success of Chabad of the Beaches?Full NameFirst NameLast NameE-mailPhone NumberArea CodePhone NumberAddressStreet AddressStreet Address Line 2CityState / ProvincePostal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNagorno-KarabakhNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandTurkish Republic of Northern CyprusNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTransnistria PridnestrovieTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOtherCountryMarital StatusMarriedSingleDivorcedLooking for a Shidduch!Age of Children0-1213-1718-3030-60No ChildrenSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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