We need your input to improve our efforts at life-long faith formation for all our parishioners. Please take a few minutes to respond and offer feedback as you see fit. There will be a drawing among those who respond!!! One TEEN respondent will receive $50 in cash and one ADULT respondent will receive a night on the town including dinner for two and movie passes! Please respond to the following categories that pertain to your place in life.

Check box that applies and include name and number

	12-14
	15-19
	20-35
	36-50
	51-65
	66+

Name

Phone