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America Will Not Reject Abortion Until America
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Rachel's Vineyard,
A Ministry of Priests For Life

Silent No More Awareness Campaign, A Project
of Priests For Life

Clergy Resources

Questions for Members of our Priests for Life Family

Please help us to serve you better by answering the following brief questions.
Thank you very much! -- Fr. Frank

Prefix:

First Name:

Last Name:

Suffix:

Are you married?Yes	Name of Spouse:
Is your spouse also a Priests for Life supporter?
If your mailing label refers to any other person(s) aside from you or your spouse, please indicate to us that person’s full name and relation to you:
Is that additional person also a Priests for Life supporter?

Address:

City:

State:

Zip:
-

Account Number:

What is your profession?

Are you on facebook? Yes	Are you on twitter? Yes
What is your facebook link?	What is your twitter account?

If applicable, what is your LinkedIn address?

Fuller contact information:

Phone Number(s): (xxx-xxx-xxxx)
Cell Phone: Home Phone: FAX:

Email address:

Do you receive duplicates of the same mailings from Priests for Life?
Yes
No

If “Yes” please let us know which address label we should use, and indicate the account numbers of all the duplicates if you have them:

Are there any corrections needed in the way your name or address appears on our mailings?
Yes
No

If “Yes” please make them here:

What is your age?
What is your birthday? (Month/Day)

Do you receive EWTN television at home?
Yes
No

If so, do you watch Fr. Frank's Defending Life program?
Yes
No

Do you receive EWTN Global Catholic Radio?
Yes
No

If so, do you hear Fr. Frank's program?
Yes
No

Have you seen Fr. Frank’s “Gospel of Life” program?
Yes
No

Have you heard Fr. Frank or Janet Morana on Teresa Tomeo radio program?
Yes
No

What do you like best about our TV or radio shows?

10.

Please check any of the following media in which you have heard or seen a mention of Priests for Life:

Religious TV	Diocesan Newspaper	Billboard
Secular TV	Secular Newspaper	Parish bulletin
Religious Radio	Secular Radio	Pro-life newsletter
facebook	Twitter	YouTube
Websites	Blogs	Other

11.

Have you visited the Priests for Life website, www.priestsforlife.org?
Yes
No

Do you find our website easy to use?
Yes
No

12.

Have you ever ordered Priests for Life resources? (tapes, brochures, etc.)
Yes
No

13.

Do you have an iPod or similar device that will allow you to download audio?
Yes
No
Do you have an iPhone?
Yes
No
Do you have an Android Phone?
Yes
No
Do you have a Blackberry?
Yes
No
If not, what type of mobile device do you have?

14.

Are you registered to vote?
Yes
No

15.

In addition to prayer and financial contributions, are you engaged in any activity in the pro-life movement?
Yes
No

If “Yes” please describe it briefly.

16.

Would you like to assist Priests for Life in any of the following ways
(please check all answers that apply):

Send letters to the editor	Promote our ministry on the internet
Distribute voter guides	Organize voter registration
Staff our booth at conferences	Speak about our work to local groups

Give short talks after Communion at parishes where the pastor permits

Other

Other Comments:

17.

Would you like to arrange to have a priest of Priests for Life visit your local pro-life group?
Yes
No

18.

Below you will find various aspects of our work. Please rank from 1 (highest) to 12 (lowest) which ones you are most eager to support.

	Training priests about the pro-life movement.		Training seminarians.
	Healing women after abortion.		Activating voters for elections.
	TV programs		Getting Planned Parenthood out of schools
	Radio programs		Use of graphic images of abortion
	Street activism (picketing, sidewalk counseling)		Educating youth
	Building Unity in Pro-life movement		Legislative efforts

19.

How did you first hear of Priests for Life and Fr. Frank Pavone?

EWTN	Mailing from PFL
Radio	Other Pro-Life Group
Newspaper	Other TV Program
Newsletter	Internet Site
Parish	Conference or Talk
Friend	Other Source
	Other Source Comments:

20.

Do you receive Fr. Frank’s biweekly email?
Yes
No

Would you like to?
Yes
No

21.

Would you like to receive text message alerts from us on your cell phone?
Yes
No

22.

Please write any additional comments you have in the space provided below.

Submit Survey

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Priests for Life
PO Box 141172 • Staten Island, NY 10314
Tel. 888-735-3448, (718) 980-4400 • Fax 718-980-6515
mail@priestsforlife.org