Ability Inclusion Ministry (AIM) Survey
Please take 2 minutes to complete the following questions. AIM looks forward to hearing from you and serving you!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Which parish do you attend? (Parish Name, City)
How long have you attended this parish?
What type of needs do you or your loved one have?
Physical
Developmental
Sensory
Behavioral/Emotional
What age group do you or your loved one fall into?
Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
How do you or your loved one currently participate in parish life
Mass attendance
Attending religious ed
Involved in a ministry
Not involved
Would you be interested in connecting with a diocesan group of families of people with special needs?
Yes
No
Are you interested in serving in the Ability Inclusion Ministry and helping to plan future events and programs?
Yes
No
Are there any particular programs, events, or ministries that you would like to see AIM develop for people with special needs and their families?
Submit
Should be Empty: