1. Are you a member of: St. Rose Philippine Duchesne Mission of the Good Shepherd Other If you answered 'Other', please provide parish name: 2. Are you part of the Earth Angels ministry? Yes No 3. Please describe your act of kindness: Errands Housework Yard work Ride to appointment Repair work Meal(s) for individual/family Clothing for individual/family Financial assistance Other If you selected 'Other', please describe: 4. Why did the person(s) you helped need help? Individual was recovering from illness/injury/surgery Individual is handicapped Individual was elderly with physical or cognitive limitations Individual has no transportation Individual was overwhelmed with no one to help Other If you selected 'Other', please describe 5. Describe how you felt before/during/after providing this help? 6. Was your act of kindness anonymous? Yes No Not sure 7. Did you remind the person(s) to pay it forward? Yes No 8. Would you do this again? Yes No 9. Do you have other comments or suggestions?   Please enter the Security Code Thank you for sharing your kindness and making the world a better place!