Mercy Ministry Assessment Questionnaire - Community Bible Church Ilderton

Phone number

Has your employment situation changes because of COVID-19?

Yes

No

Are you eligible for government assistance?

Yes

No

Do you need assistance in the following areas? Please check all that apply:

Food

Financial assistance

How can you help others?

Food

Financial Donation

Person Skills (please list below)

Other

Would you be able to assist in lawn-care/gardens?

Yes

No

The church owns some undeveloped land on the south side of the property. Would you and your family be interested in growing and maintaining a garden plot?

Yes

No