JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Stanislaus AFIRE Ministry Questionnaire
How can we help you and/or people you know find relief in the Addiction Epidemic?
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
St. Stanislaus Parish Chapter of
Are you or someone you know impacted by addiction?
*
Yes
No
Maybe
How can our chapter of AFIRE help you and/or our community?
*
Education
Prayer (individual, group)
Resources
Support Group (individual, family, etc)
Navigate a crisis
Mentors
Work and/or finance related resources
Accompaniment to local 12 step meeting groups
Other
Required
Please add details or comments to your answer for #2
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
