2024 - Needs Assessment Form - Monthly CL Boutique
We want to know what your needs are! Please fill out this form so that we can help you get the basic essentials you need! ๐Ÿ’œ

Note: Completing the needs assessment form does not guarantee that we'll have the specific items you're requesting at the next Monthly CL Boutique. Our inventory relies on donations, and due to limited funding, we may not be able to purchase many items. Your patience is appreciated as we do our best to meet your needs. ๐Ÿ’œ
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Which items are you in need of most? Select from the list below or list them below. *
Which baby items are you in need of most? Please select from the list below or list them below. *
Required
Any other specific items?ย  *
Have you been struggling to afford any of the items available in our boutique?
 *
Have you been to our Monthly CL Boutique's Before? *
Would you like to see our Monthly CL Boutique in another city? If yes, list it below. *
Required
Please select all that apply to you: *
This does not determine if you will receive the items you are requesting. This information is to help us better understand the communities we are serving.
Required
What city do you reside in? *
Additional comments, concerns, or suggestions
Name (optional)
Email (optional)
Thank you for filling out our needs assessment form! We appreciate your time and feedback.
Please remember that completing the needs assessment form doesn't guarantee that we'll have the specific items you're requesting at the next Monthly CL Boutique. Our inventory relies on donations, and due to limited funding, we may not be able to purchase many items. Your patience is appreciated as we do our best to meet your needs.
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