Dear Friends, Chabad of Briarcliff-Ossining proudly serves our local community with warmth, acceptance and openness to every person. 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.Thank you, Rabbi Dovid LabkowskiWhat do you most enjoy at Chabad of Briarcliff-Ossining?Jewish Outreach ActivitiesChildren ProgrammingAdult Education / Lecture SeriesShabbat ServicesOur warm, inclusive atmosphereWhat type of adult education classes interest you?Jewish HistoryMysticismTalmudHebrew ReadingDo you have a child or grandchild away at college who we can put in touch with their Campus Chabad to enjoy Shabbat dinner, meet new friends, and bolster Jewish identity? Please share their info.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.Yes, I have a mezuzah and would like to get another one for an additional doorway.I'm happy with whatever I have right now.Many people leave a charitable gift in their will. Would you consider leaving a gift to Chabad of Briarcliff-Ossining in yours?I have already included Chabad of Briarcliff-Ossining in my will.I plan to include Chabad of Briarcliff-Ossining in my willI will consider including Chabad of Briarcliff-Ossining in my will.I would like to speak to someone about it.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 like us to offer or what suggestion do you have for us to enhance Chabad of Briarcliff-OssiningFull 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 StatusMarriedSingleDivorcedAge of Children0-1213-1718-3030-60No ChildrenSubmitShould be Empty: This page uses TLS encryption to keep your data secure.
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