Congregational Survey

Do you consider this congregation to be your church home?

Yes

No

If yes, how many years?

Are you a member of this congregation?

Yes

No

If yes, for how many years?

Approximately how many miles do you live from this church location?

Please select which religious tradition or affiliation you were raised in. If more than one, which had the geratest impact upon you? (Check one)

	Increased	Decreased	Remained the same	Does not apply
Has your overall involvement in this congregation increased, decreased, or remained the same during the last two years?

If your involvement has increased, which of the following are reasons for that incrase? (Check all that apply)

More time available

Because of children

Better health

Accepted office/other responsibility in the church

More positive attitude toward teh church

Stronger faith

Other

If your involvement has decreased, which of the following are reasons for that decrease? (Check all that apply)

Less time available

Because of children

Health problems

Given up office/other responsibility in the church

More negative attitude toward the church

Decreased faith

Other

	Once or twice every three months	Once or twice a month	Weekly
On average, about how many times have you attended worship during the past year (Check the one that is closest)

In how many church committees, groups, and/or leadership positions do you presently participate? (E,g, Adult education, small groups, women's or men's programs, steering committees, teaching Sunday school, etc) (Check one)

Think for a moment of your five closest friends with whom you have social and recreational life. Do not include close relatives. How many are members or part of this congregation? (Check one)

If you were looking for church programs and services that would appeal to you or your family, which three from the general list below would be the most important to you? (Choose only three)

In this list of 8 questions, please select the circle closest to your personal preference for a church. If your preference is for both, please select the center circle

Worship which is:

Music which is:

Involvement and Mission emphasis which is:

Church Architecture which is:

Among the following items, select six of greatest concern to you.

Read each statement and indicate the degree of your satisfaction or dissatisfaction by marking one circle under the appropriate heading. If a particular statement does not apply, mark Not Applicable

What is your approximate age?

Please indicate your sex

Male

Female

Indicate your marital status.

Single

Married

Widowed

Divorced

What was the last grade you completed in school?

Some high school

High school graduate

Some college

College graduate

Postgraduate/professional

Other

Please indicate the number of children in your household under the age of 18.

Including yourself, how many persons are in your household?

What is your current work status?

Work outside home full time

Work outside home part time

Do not work outside home

Other

What is the present occupation of the head of household?

Please write in your ZIP Code.

Thank you for your participation.