* Required
Health insurance: (check all that apply)
Did anything keep you from getting medical care in the last year? (check all that apply)
Health conditions in your family (check all that apply):
Which of the following services / classes would you like to have offered at your church?
Who do you rely on when you need help?
Do you currently need assistance in the home due to chronic illness, physical limitations, or elder concerns?
I would like to serve with the Health Ministry Team in the following way(s):
Last Published: January 19, 2009 1:51 PM
