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Surveys
2014
January
W
What is your request?
What is your request?
0%
Exit Survey
What is your request?
Thoughts/Prayers/Support
Thoughts & Prayers
Thoughts ONLY
Prayers ONLY
Support ONLY
All, but please exclude Prayers
ITEM REQUEST:
Would you like to release your (first) name?
No
Yes, my name is
Are there any others included?
Yes
No
If there are others, and would like to include their (first) name, do you have permission to do so?
You do NOT need permission if they are your children OR if you change the person's name.
No
Yes
Their name has been changed to:
Would you like to include the details of what your situation is?
*Please do not reveal identifying information.
No
Yes:
Would you like to receive messages from supporters?
*We will send you the messages ourselves, you will not receive them directly from the supporter.
Yes
No
Is this a request for an item?
Examples: Baby clothes, children/adult clothes, food, etc.
Requests for money and/or financial help or "wants" (Xbox, pets, etc) will NOT be honored.
No
Yes (list item):
If this is a request for items, have you emailed an Admin?
YOU MUST EMAIL AN ADMIN FOR REQUESTING ITEMS
Yes but the Admin has not responded yet
No, I have yet to email an Admin
No, this is NOT a request for items
Yes, I have emailed the Admin listed:
Is this an URGENT request for support?
Yes
No
Is there a limit on how long this request is to remain posted?
No
Yes (list in hours, days, or weeks):
Email an Admin: Kylee Toth, Lora Atkins Lawrence, Kat Killian, Kaitey Lawrence "I Will Never Forget My Child / Children" page on Facebook
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