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  1. Surveys
  2. 2010
  3. November
  4. I
  5. Israeli House
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Exit Survey »
 
 
Please enter, feel at home.

The Israeli house is as an extension of The Minister of Immigrant Absorption.

The purpose of the Israeli House is to maintain the bond between Israeli citizens who are abroad and their homeland. We are here to provide support and information for citizens who are interested in returning to Israel. In addition, we organize Israeli activities for children and adults.
We would appreciate if you could take five minutes of your time to fill out a short survey.

Your contact information and inputs will be used only by the Israeli House and will not be used for any other purposes.

Toda

 
 
Today's date
 
 
Contact Information
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Email Address : 
 
 
 
Date of Birth
 
 
Spouse Information
First Name : 
Last Name : 
Email Address : 
 
 
 
Date of Birth
 
 
Children Information
Name Date of Birth
1
2
3
4
5
6
7
8
9
10
 
 
 
In what kind of the Israeli House's adult activities would you like to participate?
 
Lectures
 
Israeli movies
 
Support groups
 
Holiday gathering
 
Volunteering
 
Other
 

 
 
In which days of the week and hours would you prefer to participate?
Morning (8AM-12AM) Afternoon (4PM-6PM) Evening (8PM-12PM)
Working Days
Weekend
 
 
 
In what kind of the Israeli House's children activities would you participate with your children?
 
Story time
 
Holiday s parties
 
Youth activities
 
Other
 
Other

 
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