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2019 Pesach Seder Questionnaire
Please verify reCaptcha before submitting the form.
First Name
Last Name
Phone Number
Email
Home Address
City
Zip Code
Are you offering to Host or are you a Guest?
Please Select One
I would like to HOST
I would like to be a GUEST
What is your connection to CABI?
What is your connection to Judaism?
What Seder(s) have you previously attended?
How was your Seder experience?
1. Which night(s) would you like to HOST? You can check multiple boxes. Note: Ideally, no requester will be assigned to more than one seder until all requesters have been assigned to a seder.
1st Night - Friday April 19th
2nd Night - Saturday April 20th
Other Night
1. Which night(s) would you like to be a GUEST at a Seder? (Please check multiuple boxes)? Note: Ideally, no requester will be assigned to more than one seder until all requesters have been assigned to a seder.
1st Night - Friday April 19th
2nd Night - Saturday April 20th
Last Night - April 26th
Other Night
2nd Night Seder in the Desert led by Rabbi Dan (find more info on our website)
2nd Night Community Seder at CABI (find more info on our website)
Are you hosting an adults-only or a family seder?
Please Select One
Adults Only
Family Seder (all ages)
Host: How many spaces are offered
0
1
2
3
4
5
6
7
8
9
10
for adults 18+
0
1
2
3
4
5
6
7
8
9
10
for kids 0-17
Do you prefer an adults-only or family Seder?
Please Select One
Adult Only
Family Seder
I am happy to attend any Seder
Adult Age Range Welcomed/Preferred
18-40yrs
41-59yrs
60yrs+
Any
Kids' Age Range Welcomed/Preferred
0-2yrs
3-7yrs
8-12yrs
13-17yrs
Any
GUEST: How many spaces are needed:
0
1
2
3
4
5
6
7
8
9
10
for adults 18+
GUEST: How many spaces are needed:
0
1
2
3
4
5
6
7
8
9
10
for kids 0-17
Please list names and ages of all adults
Please list names and ages of all kids
What is the planned length of your Seder using your haggadah (not including the meal)?
Please Select One
Short (upto 1/2 hour)
Medium (approx. 1 hour)
Long (more than 1 hour)
What is the planned Hebrew/English usage?
Please Select One
Mostly in Hebrew
Half & Half Hebrew/English
Mostly in English
What is the desired length of Seder? (not including the meal)
Please Select One
Short (up to 1/2 hour)
Medium (approx. 1 hour)
Long (more than 1 hour)
Any length
What is the desired Hebrew/English usage?
Please Select One
Mostly in Hebrew
Half & Half Hebrew/English
Mostly in English
Type of Haggadah used by Host
Please Select One
Traditional
Progressive
Original (written/compiled by host)
Desired type of Haggadah
Please Select One
Traditional
Progressive
Original (written/compiled by host)
Any style
Do you want your guests to bring food or another item?
Please Select One
Yes
No
What would you like your Guest to bring?
Are you willing to bring food or another item?
Please Select One
Yes
No
What would you like to bring?
Are interested non-Jews welcome (that is, non-Jews attending on their own)?
Please Select One
Yes
No
Kashrut observance planned by HOST:
Only certified Kosher meat; no dairy served
Kosher style (meat is not certified Kosher); no dairy served
Meat & dairy served at same meal
KFP wine/grape juice only
Kosher wine/grape juice OK
Non-Kosher wine/grape juice OK
Foods planned by HOST
Beef/Lamb
Chicken
Fish
Ovo-lacto vegetarian (egg & dairy)
Vegan (no eggs or dairy)
Non-Dairy
Gluten-free (GF)
Kashrut observance desired by GUEST:
Only certified Kosher meat; no dairy served
Kosher style (meat is not certified Kosher); no dairy served
Meat & dairy served at same meal
KFP wine/grape juice only
Kosher wine/grape juice OK
Non-Kosher wine/grape juice OK
No preference
Foods desired by GUEST
Beef/Lamb
Chicken
Fish
Ovo-lacto vegetarian (egg & dairy)
Vegan (no eggs or dairy)
Non-Dairy
Gluten-free (GF)
No preference
Observance regarding kitniot (rice, corn, beans, peanuts)
Please Select One
No kitniot
Kitniot OK
Allergies of Host and allergens in Home
Observance regarding kitniot (rice, corn, beans, peanuts)
Please Select One
No kitniot
Kitniot OK
No preference
Allergies of GUESTS
Accessibilty at HOST home (please check all that could be accomodated)
Wheelchair
Walker
Crutches
Stairs
Hearing Issues
Transportation/Parking
Accessibility needed by GUEST (please check all that are needed)
Wheelchair
Walker
Crutches
Stairs
Hearing Issues
Transportation/Parking
Additonal info we may need to know about you:
Thu, April 25 2024 17 Nisan 5784