1. Please describe the act of kindness that you received:
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:
2. Please describe your situation:
I am recovering from illness/injury/surgery
I am handicapped
I am elderly with physical or cognitive limitations
I have no transportation
I was/am overwhelmed with no one to help
I am experiencing financial difficulties
I prefer not to answer
Other
If you selected 'Other', please describe
3. Describe how it felt to receive this help:
4. Was your act of kindness anonymous?
Yes
No
Not sure
5. Were you asked to do something kind for someone in return?
Yes
No
6. Do you plan to do something kind for someone else as a way to "pay it forward?"
Yes
No
Maybe
7. May Earth Angels share your story/testimonial to help inspire others to show more love and kindness?
Yes
No
8. May Earth Angels contact you for more information or questions?
Yes
No
If you answered Yes, please provide your name and preferred method of contact
9. Do you have other comments or suggestions?
Please enter the Security Code
Thank you for sharing your experience and feedback!