Fraternal Survey 2020

This form is used periodically to register your information.

First Name:
Last Name:
1. Number of visits you made to:
1a. Sick-caring for sick/nursing homes/hospitals:
1b. Bereaved - Visits of Condolence:
2. Number of times you served as a blood donor:
3. Hours of community volunteer service:
3a. All Church related activities:
3b. All community related activities:
3c. All Youth related activities:
3d. All Habitat for Humanity project activities:
3e. All Pro-Life activities:
3f. All Miscellaneous activities:
4. Number of hours fraternal service:
Sick/disabled members and their families-household chores, transportation, tutoring, counseling, etc.

We value your privacy. All information you provide is held with the highest confidentiality!