SUMMER SURVEY

Reaching and Educating for Community Hope (RECH) Foundation Survey

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

1. Do you have a loved on that is currently incarcerated? *

Yes No

2. Are you the caregiver for their children? *

Yes No

3. Have you ever been incarcerated? *

Yes No

4. Are you a registered voter? *

5. Have you completed your United States 2020 Census Survey? *

6. Have you lost your job because of the current COVID-19 pandemic? *

7. If you are currently working? Are you an essential worker? Example: Healthcare, First Responder, Grogery, Delivery, or Utility worker. *

8. Would you like to recieve our newsletters? *

Yes No

9. How would you like for us to contact you regarding our services and events that affect famlies with incarcerated loved ones? *

Submit