Lumberton Community Needs Survey

Hello neighbor! We’re here to conduct an important community needs survey to determine how we may be of help to our residents. Our goal is to assist as many people as we can with help, hope, and healing. Please select the ways in which we may bless you and your household.

Question Title

* 1. Address

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* 2. Please check the ways we may be of HELP (assistance)

Food / Clothing

Special Prayer

Family Counseling

Other (please specify)

Question Title

* 3. Please check the things you HOPE for (anticipation, expectation)

Improved Family Finances (Job/Job Training/Financial Seminar)

Closer Walk with Jesus

Better Understanding of God’s Word

Other (please specify)

Question Title

* 4. Please check the ways you desire HEALING (becoming whole)

Family Conflict Resolution

Help with Forgiveness / Guilt / Anger

Grief or Bereavement Counseling

Other (please specify)