The Lepanto Project Survey

Contact Information

Please answer the following questions. The answers you provide will be used SOLELY by the THE LEPANTO PROJECT. Your information will not be given or sold to anyone without your explicit permission. If you wish to be removed from our list, please fill out the first five (5) questions so we have enough information to remove you from the lists we used to send you this survey. Thank you and God Bless!

What is THE LEPANTO PROJECT?

The Lepanto Project is a grassroots initiative to Keep People in Colorado Healthy and Safe throughout Life from Conception to Natural Death using a combined approach of Advocacy, Education, Coalition Building, Media and, most of all, PRAYER.

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* 1. How INTERESTED are you in SUPPORTING & PROTECTING LIFE from CONCEPTION to NATURAL DEATH?

100

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 2. YOUR NAME

Title Prefix ( Ex. Mr. Mrs. Miss Ms. Dr)

First Name

Last Name

Suffix/Degree (Ex. IV, DDS, DO, JD, MD, PhD, RN)

Nickname

Favorite Color

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* 3. YOUR EMAIL INFORMATION

Home Email Address

Work Email Address

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* 4. YOUR PHONE INFORMATION

Cell Phone # (xxx-xxx-xxxx)

Home Phone # (xxx-xxx-xxxx)

Work Phone # (xxx-xxx-xxxx)

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* 5. How INTERESTED are you in PARTICIPATING with THE LEPANTO PROJECT?

VERY interested

SOMEWHAT interested

NEITHER interested NOR not interested

SOMEWHAT NOT interested

NOT interested, but KEEP ME on your DISTRIBUTION LIST so I can stay informed about your activities.

NOT interested, Please KINDLY REMOVE my name & email from your DISTRIBUTION LIST.

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* 6. I can help Advance the Mission of THE LEPANTO PROJECT with my TIME in the following ways: (Check All that Apply.)

Pray for THE LEPANTO PROJECT.

Make Phone Calls on behalf of THE LEPANTO PROJECT

Write and Send Emails and/or Hand-written Letters on behalf of THE LEPANTO PROJECT.

Post on Social Media (Facebook, Twitter, Instagram, etc.) about THE LEPANTO PROJECT.

Attend Events of THE LEPANTO PROJECT.

Meet with People on behalf of THE LEPANTO PROJECT.

Other (please specify)

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* 7. I can help Advance the Mission of THE LEPANTO PROJECT with my TALENT(S) in the following way(s): (Please describe work skills, hobbies, interests, in-kind donations, etc.)

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* 8. I can help Advance the Mission of THE LEPANTO PROJECT with my TREASURE in the following ways: (Check All that Apply.)

Make a Monetary Tax-deductible Donation.

Sponsor Rosary Prayer Cards.

Sponsor Printed Promotional Items (Brochures, Books, Pamphlets, etc.)

Acquire Sponsorships.

Obtain In-kind Donations of Goods and Services.

Sponsor an Event (Rent a Theater, Provide Food, etc.)

Host an Event.

Other (please specify)

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* 9. Which of the following activities interest you? (Check ALL that apply.)

Attend Opening Day of the Colorado General Assembly on Wednesday, January 8th, 2020 at the State Capitol.

Attend the Celebrate Life Rally & March - An Event Celebrating Every Life from Conception to Natural Death on Saturday, January 11th at the State Capitol from 1:00-3:00. (Mass at 11:00AM at Holy Ghost).

Attend a screening of the movie "Just Mercy" on Sunday, January 12th at AMC Arapahoe Crossing. (A powerful and thought-provoking true-story, World-renowned civil rights defense attorney Bryan Stevenson works to free a wrongly condemned death row prisoner in this history-making battle for justice. Starring Jamie Foxx & Michael B. Jordan.)

Participate in THE LEPANTO PROJECT Book Club. Read and Discuss "The Marian Option: God’s Solution to a Civilization in Crisis" by Carrie Gress. Details to follow.

Spend time in the Adoration Chapel for the intentions of THE LEPANTO PROJECT.

Attend Daily Mass for the intentions of THE LEPANTO PROJECT.

Pray the Rosary for the intentions of THE LEPANTO PROJECT.

Attend THE LEPANTO PROJECT Virtual Meetings - Meet on the 2nd Monday of Each Month at 8:00PM via Zoom Video Conference Call.

Other (please specify)

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* 10. YOUR HOME ADDRESS INFORMATION

Street Address

Unit or Apartment #

City

State

Zipcode

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* 11. YOUR BIRTH INFORMATION (optional)

Place of Birth (City, State)

Birthdate (MM/DD/YYYY)

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* 12. WHAT are the BEST WAY(S) for THE LEPANTO PROJECT to COMMUNICATE with you? (Check ALL that apply.)

Call Home Phone

Call Work Phone

Call Cell Phone

Text Cell Phone

Home Email

Work Email

Facebook Messenger

Social Media (Facebook, Twitter, Instagram)

Other (please specify)

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* 13. Are you a Member of an Archdiocese of Denver Catholic Parish?

Yes