Men ˇs Ministry Survey
    Background Information
    1. Age ’ 18-24 ’ 25-29 ’ 30-39 ’ 40-49 ’ 50-64 ’ 65 +
    2. Marital Status: Single ____ Married ____ Number of Children ____
    3. Type of Work: ___________________________________________
    4. Which of these issues are most important to you? (Check two most important)
    ’ Finding a job ’ Relationship to wife ’ Job security ’ Male roles & identity
    ’ Balancing work, home & ministry ’ Parenting skill ’ Retirement
    ’ Reaching other men ’ Spiritual life
    A Man and His Family
    5. Would you be interested in a monthly meeting on family issues? (Parenting, relationship to wife, etc.?)
    ’ Yes ’ No
    6. When would be the best time for you to attend that meeting?
    ’ Saturday morning ’ Weeknight Which Night? _________________
    ’ Sunday morning ’ Sunday night
    7. What topics would you like to see addressed? (Check two)
    ’ Keeping the romance alive in your marriage ’ Disciplining your children
    ’ Surviving the teenage years ’ Being the spiritual leader at home
    ’ Handling conflict ’ Communicating with your wife
    ’ Other __________________________
    Men in the Marketplace
    8. How can we best help you integrate your Christian faith into your job?
    ’ Monthly meeting with a speaker
    ’ Weekly small group meeting to discuss the issues
    ’ Monthly small group meeting to discuss the issues
    ’ 3-5 week seminar on ethics, relationships on the job, etc.
    9. Best time for these small groups or seminars
    ’ Weekday morning
    ’ Weekday evening
    ’ Saturday morning
    ’ Sunday evening
    10. Topics I would like to hear addressed: (check top 3)
    ’ Handling stress ’ Coping with failure ’ Changing careers
    ’ Mentoring ’ Relationships on the job ’ Planning retirement
    ’ Sharing your faith with work associates ’ Resisting sexual temptations
    ’ Balancing home, work and ministry ’ Avoiding the success obsession
    ’ Keeping your ethics edge sharp
    Men and the World
    11. Would a short-term missions trip be of interest to you? ’ Yes ’ No
    12. What type of short-term missions trip would interest you the most?
    ’ Construction Project ’ Business Trip (i.e. giving seminars in Eastern Europe)
    ’ Athletic trip (i.e. basketball in the Philippines) ’ Medical trip
    13. What would be a good length of stay for such a trip?
    ’ Weekend ’ 1 week ’ 2 weeks ’ 3 weeks ’ one month or more
    Retreats
    14. If we would begin to have retreats as part of the ministry would you be interested? ’ Yes ’ No
    15. What type of retreat would interest you most?
    ’ Teaching type ’ Adventurous type (canoeing, camping, fishing, etc.)
    ’ Spiritual and personal renewal ’ Networking with other men
    16. And the length of the retreat?
    ’ One night ’ Two nights
    17. How far would you be willing to travel for a retreat?
    ’ 30 minutes ’ 1 hour ’ 2 hours ’ 3 hours ’ More than 3 hours
    Man to Man
    18. Are you currently attending a men ˇ s Bible study group? ’ Yes ’ No
    19. If you are not in a group, would you be interested in attending a men ˇ s small group? ’ Yes ’ No
    20. What would you like to see happen in that group? (Check two)
    ’ Study the Bible ’ Talk about problems at home or work
    ’ Pray for one another ’ Discuss how you integrate your Christian faith and your
    work and family life
    21. Which would you prefer for meeting?
    ’ Every week for one hour ’ Every other week
    ’ Once a month for three hours
    22. When would you prefer to meet?
    ’ Early morning before work ’ Lunch hour
    ’ After work in the evening ’ Over the weekend
    Men ˇs Conference
    24.Would you be willing to assist in our church ˇ s Men ˇ s Ministry? ’ Yes ’ No
    25. If yes, what are your areas of potential interest?
    ’ Publicity ’ Organize events (retreats, golf outings, etc.)
    ’ Work in the kitchen ’ Lead Small Group
    ’ Do telephoning ’ Work with work projects
    .
    Marketplace Ministries
    26. What do you or would you personally like to accomplish through your involvement in Men ˇ s Ministry? (Check
    two)
    ’ A closer walk with God ’ Fellowship with other Christian men
    ’ An outlet to vent problems or frustrations ’ More involvement in the church
    ’ A chance to meet other men ’ Other ________________________________
    27. When the entire men ˇ s program is determined, I would like someone to contact me so I can become more
    involved or receive more information. ’ Yes ’ No
    NAME_________________________________________ E ? MAIL ____________________________
    PHONE: DAYS________________
    EVE.__________________
    ADDRESS____________________________________________________________________________________
    CITY ______________________________________________________________ZIP____________________
    Please list additional comments about the Men ˇ s Ministry you may have in the space below. You may optionally
    include your name, mailing address and telephone number. Thank you very much for completing this survey.

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