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Information about you
Start the survey by creating an account. This way you'll be able to save the survey as you go along.
Username
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Please choose a username for YOUR EcoSynagogue account using your synagogue or community name.
Password
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Please choose a password to access your EcoSynagogue account
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Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Rabbi
Prefix
First
Last
Email
*
Phone Number
*
Additional Name
*
This should be the name and contact details of a member of your community’s professional team, office manager or similar.
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Rabbi
Prefix
First
Last
Email
*
Phone Number
*
Information about your Synagogue
Name of Synagogue
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Synagogue denomination
*
Synagogue address
*
Synagogue phone number
*
Approx number of members
*
Do you have a Synagogue building
*
Yes
No
Do you have land attached to your Synagogue building?
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Yes
No
Approx age of main synagogue building
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