Harvest Carnival Survey

Fill out the survey below for a chance to win a Family Dinner and a Movie Night package, including $50 gift cards to Chick-fil-a and AMC Theaters.

Name *

Name

First Name

Last Name

Email Address *

Phone *

Phone

(###)

###

####

What is your relationship status? *

What was your favorite part about the Harvest Carnival? *

How did you find out about the Harvest Carnival? *

How many kids do you have? *

What are their ages? *

Infant

2-4

5-11

11-14

15-18+

What are some of your families hobbies? *

Do you and your family regularly attend a church? *

2 or more times a month

If you don't attend a church, care to share why?

What is one thing you believe is an important need in our communty? *

2017 Harvest Carnival Survey