| Questions | Answers |
|---|---|
| Do you know a family/child/person in need? | YES NO |
| List the First Name and Last Initial of the Person/Child | |
| What type of gift would this person like? | |
| For Clothing/Shoes/Jackets List the sizes | |
| What type of baskets/prizes would be desirable for employees POC incentives | |
| List any other items that someone might want to win | Crock Pot |
| Fill in the blank...I would really like to win a |