Skip survey header

Light of the World Parish Census

Household Information

This question requires a valid number format.
2. Please fill out your contact information:
This question requires a valid date format of MM/DD/YYYY.
calendar
Is your street address the same as your mailing address?
Please enter your mailing address:
3. Which sacraments have you received? (select all that apply)
4. Do you have a spouse or children living in your household?
Please enter your spouse's contact information:
This question requires a valid date format of MM/DD/YYYY.
calendar
Which sacraments has your spouse received? (select all that apply)
How many children do you have living in your household?
Please enter your children's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received: 
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
Please enter your children's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received: 
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
Please enter your children's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received: 
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
Please enter your children's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received: 
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
Please enter your children's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received: 
Please enter your child's information below:
This question requires a valid date format of MM/DD/YYYY.
calendar
Check sacraments received:
Are there any other members of your household that are not your spouse and/or children?
Please fill out the contact information for other members of your household
Should he/she fill out a separate census?
Should he/she fill out a separate census?
Should he/she fill out a separate census?