What do you need help with?
Errands
Housework
Yard work
Ride to appointment
Repair work
Meal(s) for myself/family
Clothing
If you selected clothing, please provide person's first name, age, gender & size
If you need help in some other way, please describe.
Why do you need help with this?
I am recovering from illness/injury/surgery.
I am elderly with physical limitations.
I have no transportation.
I am overwhelmed with no family/friends nearby to help.
If there is another reason you need help, please describe.
When do you need help with this?
Immediately
Within a week
Within a month
I am overwhelmed with no family/friends nearby to help.
I need help on a specific date/time (please include am or pm)
How would you prefer to be contacted?
phone
email
Phone Number
-
Area Code
Phone Number
Email
If help is needed at your home, please provide an address.
If/when you are able, would you be willling to do something nice for someone as a way to "pay it forward?"
yes
no
Thank you for reaching out. An Earth Angel from St. Rose will contact you.
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