JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Staff Questionnaire
Please note the following information is for the assessment team only.
It will only be shared with individuals outside of the assessment team if we receive your permission to do so.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Staff Member's Name:
*
Your answer
What is your Ministry Position Title:
*
Your answer
Church Name:
Your answer
Birth Date:
MM
/
DD
/
YYYY
Spouse's Name:
Your answer
If married, how long?
Your answer
Children (list children's names and current ages):
Your answer
Is there anything special about your family as it relates to your ministry role at the church that we should be made aware?
Your answer
EDUCATION
(From most recent) In the following please share the Institutions name. The last year attended. The degree earned and any other pertinent information.
Institution #1
Your answer
Institution #2
Your answer
Institution #3
Your answer
Other Education Information:
Your answer
EMPLOYMENT HISTORY
(From most recent) In the following please share the name (Company or individual), the position held, the date of employment, and the reason for leaving.
Employer 1 - (Most recent)
Your answer
Employer 2
Your answer
Employer 3
Your answer
Employer 4
Your answer
Employer 5
Your answer
MINISTRY POSITION
Again, please note the following information is for the assessment team only. It will only be shared with individuals outside of the assessment team if we receive your permission to do so.
Do you have a written job description? If yes, please send a copy of the job description to
stan@churchhealthstrategies.org
.
Yes
No
Clear selection
What is the primary focus of your ministry position?
Your answer
When was the last time your job description was reviewed?
Your answer
To whom are you directly accountable in the church’s organizational structure?
Your answer
When was your last job performance review and by whom was it done?
Your answer
Do you receive yearly COLA’s (Cost of Living Adjustment)?
Yes
No
Clear selection
When was the last time you had a pay increase greater than a COLA?
Your answer
What could the church do to help you to be more effective in this ministry position?
Your answer
MINISTRY SATISFACTION & FIT
What about your current position do you find most rewarding?
Your answer
What about your current position do you find most challenging?
Your answer
Describe the metrics or standards that you use to determine whether or not you are successful or effective in your current ministry role?
Your answer
Describe your sense of “fit” in your current ministry role on the basis of your Spiritual Gifting.
Your answer
Describe your sense of “fit” in your current ministry role on the basis of your talents and abilities.
Your answer
If married is your spouse supportive of your current ministry position? If yes, how do you know this to be true? If not, what are the issues that hinder his or her support?
Your answer
MINISTRY RELATIONSHIPS
Who are you currently discipling, mentoring, coaching or investing time with to help them develop into leaders for the ministry of this church? How often do you interact with this individual or group of individuals? What is the focus of this relationship?
Your answer
How do you intentionally cultivate relationships with unsaved individuals in the community?
Your answer
If you have a MENTOR, what is their name? Describe this relationship (what, when, where, how and why).
Your answer
If you have a COACH, what is their name? Describe this relationship (what, when, where, how and why).
Your answer
PERSONAL RENEWAL & GROWTH
What steps are you taking to continue to grow as a leader in your current position?
Your answer
How do you re-energize yourself for ministry?
Your answer
How regularly do you take a day off?
Your answer
Describe your last vacation (When was it? How long were you away? Where did you go? And who was with you?):
Your answer
Give the title and author of the last four (4) books you have read and the date that you completed each book:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
