Big
Brother Program:
Member Questionnaire
Big Brother Homepage | New
Member Packet
| Big Brother Checklist
To help
better understand the interests of DeMolay, here is a simple
survey for you to fill out.
Question #1 - What type of activities
are you interested in?
1 - Very ----- 2 - Somewhat ----- 3 - Not at all
Baseball/Softball
---> 1 ----- 2 ----- 3
Football ---> 1 ----- 2 ----- 3
Soccer ---> 1 ----- 2 ----- 3
Basketball ---> 1 ----- 2 ----- 3
Volleyball ---> 1 ----- 2 ----- 3
Skiing/Snowboarding ---> 1 ----- 2 ----- 3
Camping Trips ---> 1 ----- 2 ----- 3
Sleep Overs ---> 1 ----- 2 ----- 3
Paintballing ---> 1 ----- 2 ----- 3
Golfing (Driving Range, Mini) ---> 1 ----- 2 ----- 3
Bowling ---> 1 ----- 2 ----- 3
Pool/ Billiards ---> 1 ----- 2 ----- 3
List Any Other Activities Here:
Question #2 - What kind of fund-raisers would you
be interested in participating in?
1 - Very ----- 2 - Somewhat ----- 3 - Not at all
Car Washes --->
1 ----- 2 ----- 3
Breakfast/ Dinners ---> 1 ----- 2 ----- 3
Dances ---> 1 ----- 2 ----- 3
Candy Sales ---> 1 ----- 2 ----- 3
Tupperware Sales ---> 1 ----- 2 ----- 3
Auctions (Pound, Indentured Servant, etc.) ---> 1 ----- 2
----- 3
Selling Soda/ Refreshments ---> 1 ----- 2 ----- 3
List any other fund-raisers here:
Question #3 - What type of Civic
Service projects would you be interested in?
1 - Very ----- 2 - Somewhat ----- 3 - Not at all
Park/ Playground
Cleanups ---> 1 ----- 2 ----- 3
Canned Food Drives ---> 1 ----- 2 ----- 3
Volunteering at Elderly Complex’s ---> 1 ----- 2 ----- 3
Volunteering at Soup Kitchens ---> 1 ----- 2 ----- 3
List any other projects here:
Question #4 - Below, list anything that you might
be interested in that has not previously been listed on this
questionnaire.
Name:
Home Phone:
E-Mail Address:
Other Means of
Communication (Cell Phone, Pager, etc.):
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