Small Group Survey

Please fill out this form and click submit.

The purpose of this survey is to enable the church staff to become acquainted with you and your background, and to expand our congregations small group ministry. Please answer the following questions. Thank you!

Name

This address will receive a confirmation email

Phone

Address

Please tell us about yourself. Check All That Apply *

Please select one option.

Male Female Single Married (children at home) Married (grown children) Divorced Widow / Widower

Before coming here, did you regularly attend another church. *

Please select one option.

Yes No

Where did you previously attend? Church Name, Town, State

What is your denominational background? *

Have you ever served as a Bible Class Teacher / Small Group Leader?

Please select all that apply.

Yes No

Have you ever served as a Scout leader, Sports coach, Club sponsor, or any other role as a group organizer or leader? *

Please select all that apply.

Yes No

Please describe:

What is your occupation? (i.e. carpenter, nurse, retired, unemployed

Do you currently serve in your workplace as a manager or supervisor? *

Please select all that apply.

Yes No

How would you like to be involved in small groups? Check all that apply: *

Please select one option.

I would like to attend a small group as a participant. Open my home for a small group to meet? I would like to start a small group. Asist someone in building a small group

What type of small group would you prefer? Check all that apply: *

Please select one option.

Womens Group Mens Group Couples GroupMixed gender Group Mixed gender Group Topical Study Book Study

What Day or Timeframe best fits your schedule? Check all that apply: *

Please select one option.

Morning Afternoon Evening Weekdays Weekend

Description

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Small Group Survey

Description

Please Fix the Following