Agape' Survey

Staff,
Here is an outline of the conversation we would like for you to have with your Agape' families.

* Indicates required field

Childs Name *

First

Last

Childcare Needs:

Is your job considered essential? *

Yes No

Will you need to bring your child in for childcare, if we open in a couple of weeks? *

Yes No

Other needs: *

Do you need some activities to do with your child?

Would a packet of preschool and school reading materials be helpful to your child? *

Yes No

Do you need some information on how to talk to your child about COVID-19? *

Yes No

Emotional and Spiritual Needs:

How are things going in your family?
What have you been spending your time doing?

How can we pray for you? *

Do you have an email that the church could use to send you information and opportunities to serve the community? This helps us to communicate through mass email.

Email Address *

For children age 2 and up please ask to speak with them.

Simply ask how they are and what they have been doing. Be sure to tell them that you miss them and are looking forward to seeing them again.

Add any additional comments or things we may need to know in the box below. *

Submit

Staff,Here is an outline of the conversation we would like for you to have with your Agape' families.

Staff,
Here is an outline of the conversation we would like for you to have with your Agape' families.