St. Bernard Covid Assessment
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1. Tell us a little bit about yourself: *
2. Age Category *
3. How are you feeling lately? (1 feeling 'Very Poor' and 5 feeling 'Really Great') *
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2
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5
Spiritually
Physically
Emotionally
Financially
4. What one thing keeps you up at night?
5. How is St. Bernard’s meeting your needs in terms of: (Scale is 1 being ‘Not very Well and 5 being ‘Extremely Well’) *
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2
3
4
5
Spiritual / Emotional Needs
Awareness of Parish programs and services
6. In what ways do you feel the parish has supported you over the last 4 months since the outbreak of the virus?
7. In what ways can the parish improve in supporting your needs over the next 6-9 months?
8. What areas do you feel the parish needs to prioritize over the next 6-9 months? (Please indicate as 1 being ‘Not a Priority’ and 5 being the ‘Highest Priority’) *
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2
3
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5
Adult Education
Care Ministry
Faith Formation
Family Life
Hospitality
Liturgy
Music Program
Social Justice
Youth Ministry
Other (see 8.a)
8.a If you indicated "Other" in question 8, please indicate what that is.
9. Complete this sentence.  I really want Fr. Jude to know the following.
Optional, should you want someone to contact you about your repsonses. Please provide your name and phone number.
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