Dear Friends, Chabad Lubavitch of Utah 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 Benny Zippel What do you most enjoy about Chabad Lubavitch of Utah?Friday Night DinnersHebrew SchoolAdult Education/ Lecture SeriesOur warm community atmosphereProject HEARTWhat type of adult education classes interest you?Jewish HistoryMysticismTalmudHebrew ReadingDo you have a child or grandchild away at college? Let Chabad Lubavitch of Utah 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 Lubavitch of Utah in yours?I have already included Chabad Lubavitch of Utah in my will.I would definitely include Chabad Lubavitch of Utah in my will.I would probably include Chabad Lubavitch of Utah in my will.I would like to speak to someone about including Chabad Lubavitch ofUtah 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 Lubavitch of Utah?Full Name*First 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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