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Church Survey
Thank you for participating in our survey. Responses will be anonymous unless you wish to provide your contact information.
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* Indicates required question
What's your marital status?
*
Single
Married
What is your age range?
*
18-29
30-44
45-59
60+
Do you have children at home?
*
Yes
No
If you answered yes, what are the age ranges you currently have in your household?
Under 6 weeks
6 weeks to 6 years
7 years to 11 years
12 years to 17 years
18+ years
We want to resume in-person services as soon as we can safely gather. We are looking towards opening on June 21st or earlier. Would you plan to attend?
*
Yes
No
On a scale of 1-10, how do you rate your overall experience with COVID-19?
*
Struggling severely
1
2
3
4
5
6
7
8
9
10
As well or better than before it started
If you marked 5 or below, what are your greatest areas of struggle?
Your answer
Are you experiencing high levels of fear or anxiety during this time?
*
Yes
No
What are your greatest prayer needs right now?
Your answer
Feel free to leave any comments below.
Your answer
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