Costume Giveaway Day Survey

Costume Giveaway Survey

Please complete this form to let us know how we can better serve your Halloween needs.

How many children are you shopping for today? *

What is your zip code? *

What is your email address? (optional)

We will add you to our email list so that you can be informed of future events and important 10/31 Consortium information.

What is your cell phone number? (optional)

We will only call you if you request further services below.

How would you rate this free Halloween costume service provided by 10/31 Consortium? *

1 - Poor, 2 - Needs Work, 3 - OK, 4 - Good, 5 - Excellent

Please tell us your thoughts on this program. Is it helpful? How has it impacted your family? *

How can we improve our free Halloween costume services? *

Do you leave your neighborhood with your children to go Trick or Treating on Halloween night? *

How many Trick or Treaters do you normally get at your home on Halloween night? *

Please describe what Halloween is like in your neighborhood. *

Would you like help creating a safe and fun Halloween experience for children in your neighborhood? *

May we publish your comments to help show the need for this program in our community? *

Subscribe