CTK Eastern Hills Outreach Survey

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Please fill out the following survey:

Email *

First and Last Name *

List your current address

Communications Category- Please check the following that applies to you:

Web Developer

Copywriter

Microsoft Office Suite

Graphic Design

iPhoto/iMovie

Adobe Suite

Social Media

Other:

Construction Category- Please check off the following that applies to you:

Carpenter

Dry Wall

Flooring installation

General Contractor

Handyman (not professional)

Landscaping

Interior Design

Licensed Electrician

Licensed Plumber

Licensed HVAC

Painting

Other:

Creative Category- Please check off the following that applies to you:

Artistic Painting

Audio Engineering

Event Planning

Camera Operator

I can play (guitar, piano, drums, etc.)

I can sing

Photography

Poetry/Creative Writing

Production (audio/video)

Sculpture

Woodworking

Video Editing

Other:

Education Category- Please check off the following that applies to you:

Elementary School Teacher

Middle School Teacher

High School Teacher

Principal/Senior Administrator

Speech Therapist

Tutor

Other:

Finance Category- Please check off the following that applies to you:

Auditor

Banker

Certified Public Accountant

Entrepreneur

Micro finance

Insurance

Attends/hosts finance seminar (learning about finance, teaching financial skills, etc.)

Certified Financial Planner

Other:

General Category- Please check off the following that applies to you:

Administrative

General Project Management

Human Resources

Marketing/Sales

Other:

Mission Trips Experience Category- Please check off the following that applies to you:

I have traveled on a missions trip (local/international)

I have led a mission trip internationally

I have led a mission trip locally

I currently do outreach in different ways

I have connections with mission organizations in Cincinnati

I have connections with mission organizations internationally

No experience but would love to do more outreach both locally and internationally!

I have ideas on how to better serve the surrounding areas of Cincinnati and NKY

Other:

Language Category- Please check off the following that applies to you:

Arabic

French

German

Spanish

Mandarin

English

Other:

Legal Category- Please check off the following that applies to you:

CSI

Lawyer

Legal Researcher

Paralegal

Police

Politician

Other:

Medical Category- Please check off the following that applies to you:

Community Health Worker

Psychiatrist, Psychologist

Dental Assistant

Dental Technician

Dentist

Dietitian

Doctor (general practitioner)

Doctor (specialized)

Emergency (First Aid Response)

Medical Technician

Nurse Practitioner

Occupational Therapy

Optometrist

Oral Surgeon

Oral Surgery Assistant

Pediatrician

Pharmacist

Physical Therapist

Physician (all specialties besides pediatrics)

Physician's Assistant

Registered Nurse

Student (Medical, Pharmacy, Dental or Optometry)

Speech Therapist

Other:

Soul Care Category- Please check off the following that applies to you:

Counselor/Marriage

Counselor/Mental Health

Counselor/Substance Abuse

Prayer Warrior

Planner (meetings, events, weddings, etc.)

Other:

Interests Category- Please check off the following that applies to you:

Teaching

Helping with kids

Learning new languages

Cooking

Reading

Researching

Planning events

Hosting parties

Traveling

Babysitting

Cleaning/organizing

Driving

Hiking/Biking

Playing tennis

Rock climbing

Running

Going to the gym

Camping

Coffee/Tea/Desserts

Golfing

Bowling

Other:

Additional Comments:

What is the best way to contact you?

Both

Clear selection

Shirt Size *

XXL

Other:

Please list email and/or phone number for preferred contact:

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