Hughesville Baptist Church

Questionnaire for Widows

All answers are optional.

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Name:


First Name	Last Name

Address:

Phone:

Phone Number

Email:

Email Address

Late Husband's Name:


First Name	Last Name

Children's Names and Ages:

Grandchildren's Names and Ages:

What is your greatest need?

What is your greatest fear?

How can we help you?

Would you be interested in any of these events for widows?

Select all that apply

Which one interests you most?

Select from list

What topics would you like for us to include in our studies and discussions?

Names and addresses of other widows who might benefit from this ministry:

* required