Please take a few moments to fill out this survey of personal interests, needs, and concerns so that we, as a church, can plan more effective ministries for you as individuals, couples, parents, and grandparents.
You are important to our church. The completion of this survey will be important to us in establishing future priorities, goals, and directions for ministry. As a church, we want to assist you as you seek to experience e the love of God at home and at church.
| I. General Information About You (check all that apply) |
A. Age:
| ÿ | ||
| ÿ | 13-17 | |
| ÿ | 18-25 | |
| ÿ | 26-34 | |
| ÿ | 35-55 | |
| ÿ | 56-65 | |
| ÿ | 65-74 | |
| ÿ | 75 + | |
B. Sex
| ÿ | Male | |
| ÿ | Female | |
C. Status:
| ÿ | ||
| ÿ | Single never married | |
| ÿ | Single, divorced/separated | |
| ÿ | Single, widow/widower | |
| ÿ | Married | |
| ÿ | Married again | |
| ÿ | Parent, traditional family | |
| ÿ | Parent, single family | |
| ÿ | Parent, blended family | |
| ÿ | custodial | |
| ÿ | non-custodial | |
| ÿ | joint custody | |
| ÿ | Foster Parent | |
D. Employment:
| ÿ | Full-time homemaker | |
| ÿ | ||
| ÿ | Full-time outside the home | |
| ÿ | Home-based business | |
| ÿ | Part-time outside the home | |
E. Ages of Children at Home: ________________________________________
| II. Areas of Need/Interest (check all that apply) | |
I would prefer groups for…
| ÿ | ||
| ÿ | women only | |
| ÿ | men only | |
| ÿ | couples | |
| ÿ | general audiences | |
| A. Personal: | Participant Teach |
Basic Budgeting _______ _______
Caring for aging parents _______ _______
Conflict resolution _______ _______
Dealing with crises _______ _______
Drama _______ _______
Financial planning _______ _______
Dealing with anger _______ _______
Calligraphy _______ _______
Cooking/Nutrition _______ _______
Creative Writing _______ _______
Exercise _______ _______
First Aid ( with CPR) _______ _______
Gardening _______ _______
Car repair _______ _______
Marriage enrichment _______ _______
Quilting _______ _______
Painting _______ _______
Parenting _______ _______
Safety and self defense _______ _______
Time Management _______ _______
Home repair _______ _______
Interior decorating _______ _______
Needlework _______ _______
Sewing _______ _______
Ceramics _______ _______
Personal Grooming _______ _______
Grief recovery _______ _______
Divorce recovery _______ _______
Other: _____________ _______ _______
B. Married Couples:
| ÿ | Being a Christian Husband | |
| ÿ | Being a Christian Wife | |
| ÿ | Biblical perspective of marriage | |
| ÿ | Dealing with in-laws | |
| ÿ | Equality and submission in marriage | |
| ÿ | Growing in oneness | |
| ÿ | Husband/Wife communication | |
| ÿ | Intimacy in marriage | |
| ÿ | Listening to my mate | |
| ÿ | Mentoring | |
| ÿ | Newlywed adjustment | |
| ÿ | Sexual fulfillment in marriage | |
| ÿ | Two-career marriage | |
C. Parenting:
| ÿ | Being a Christian Father | |
| ÿ | Being a Christian Mother | |
| ÿ | Communicating moral values | |
| ÿ | Dealing with hectic schedules | |
| ÿ | Discipline | |
| ÿ | Helping children after divorce | |
| ÿ | How to teach children about sex | |
| ÿ | Parenting college students | |
| ÿ | Leading your children to Christ | |
| ÿ | Parenting special children | |
| ÿ | Parenting preschoolers | |
| ÿ | Parenting 6 - 11 year olds | |
| ÿ | Parenting Teens | |
| ÿ | Parenting in the blended family | |
| ÿ | Single Parenting | |
| ÿ | Career planning/changes | |
| ÿ | Stress/Burnout | |
| ÿ | Finance | |
| ÿ | ||
D. Youth:
| ÿ | Dating | |
| ÿ | Discovering God’s will | |
| ÿ | Facing issues at school | |
| ÿ | Getting along with siblings | |
| ÿ | Getting along with peers | |
| ÿ | Sexual abstinence | |
| ÿ | Getting along with parents | |
| ÿ | Getting ready for marriage/family | |
| ÿ | Improving self-esteem | |
| ÿ | Making right moral decisions | |
| ÿ | Preparing for a career | |
| ÿ | Other: __________________ | |
E. General Family:
| ÿ | ||
| ÿ | Becoming a healthy family | |
| ÿ | Building family traditions | |
| ÿ | Improving family communication | |
| ÿ | Understanding blended fmaily dynamics | |
| ÿ | Starting family worship and Bible Study | |
| ÿ | Finding God’s will as a family | |
| ÿ | Providing family recreation | |
F. Single Adults
| ÿ | ||
| ÿ | Experiencing fulfillment as a single | |
| ÿ | Discovering my place in the church | |
| ÿ | Life after college, career start up | |
| ÿ | Dating | |
| ÿ | Dealing with single again issues | |
| ÿ | Coping with loneliness | |
| ÿ | Relationships with the opposite sex | |
| ÿ | Developing meaningful friendships | |
| ÿ | Preparing for marriage/remarriage | |
| ÿ | Surviving college | |
| ÿ | Coping with the loss of a mate | |
| ÿ | Other: ______________________ | |