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!