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  5. CRC Women's Ministry SURVEY
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Exit Survey
 
 
 
 
 
 
On a scale of 1 to 10 how would you rate your relationship with God?___ (1 = Non Existing to 10 = Intimate Relationship with the Lord)
 
1 = Non Existing
 
2, 3, 4, 5, 6, 7, 8, 9
 
10 = Intimate
 
 
 
Member of CRC: ______________
 
Yes
 
No
 
Visitor
 
Attend Regularly or Occasionally
 
Other
 
 
 
 
What area or areas in your life do you struggle with most?
 
___________________________________________________
 
 
 
Which describes you best?
Do you have Children?
 
Single
 
Divorced
 
Widowed
 
Separated
 
Married
 
 
No Children
 
Teens
 
Small Children
 
Adult Children
 
Other
 
 
 
 
Which describes you best?
 
Working outside the home
 
Full Time
 
Part Time
 
Homemaker
 
Retired
 
Self Employed
 
Other
 
 
 
 
I am: 18-24 • 25-34 • 35-41 • 42-49 • 50-59 • 60-69 • 70+ •
 
18-24
 
25-34
 
35-41
 
42-49
 
50-59
 
60-69
 
70+
 
 
 
I prefer to?
I serve best with?
 
Prefer: Lead / Plan
 
Prefer: To be Asked to "do"
 
best with LOTS of HELP
 
best ON my OWN
 
 
 
Your Interests: I would Participate (P) or Teach / Train (T)
 
Leadership Training / Development
 
Healthy Living / Diet
 
Single Again
 
Witnessing Training
 
Giving (to God, Others, Self)
 
Rules of Order
 
Time Management
 
Biblical Teaching
 
Prayer / Fasting
 
Identifying Your Spiritual Gifts
 
Hospitality
 
Marriage Enrichment
 
Financial Planning/Money Management
 
Celebrate Recovery
 
Young Women
 
Worship / Praise
 
Other
 
 
 
 
What kinds of Fellowships / Events / Activities / Ministries INTEREST YOU?
 
Ladies Retreat
 
Prayer Ministry / Prayer Partner
 
Ladies Night Out
 
Seminars / Speaker Tapes
 
Fundraising / Grants / Auctions etc.
 
Youth / Teen Involvement
 
Luncheons / Banquets
 
Teaching / Bible Study
 
Hospital Ministry / Greeter
 
Fellowship Opportunities
 
Mission / Outreach / Resources
 
Prison Ministry
 
Exercise Training - On or Off Site
 
Skiing / Ice Skating / Bowling
 
Themes & Speakers
 
Administration
 
Drama / Movies / Theater / Plays
 
Ladies Conference
 
Sargent of Arms
 
Other
 
 
 
 
I would be WILLING TO UTILIZE my Talents / Abilities / Skills through:
 
Art work / Graphics
 
Advertising / Publicity
 
Brochure / Flyers / Newsletters
 
Website Development
 
Games / Icebreakers
 
Worship & Praise
 
Facilitate Meetings
 
Facebook / Computer Skills
 
Bulletin Boards
 
Phone Calls / Follow-up / Recruit
 
Decorations / Refreshments
 
Setup / Cleanup / Refreshments
 
Music / Singing
 
Bookkeeping / Recording / Tracking
 
Emceeing Events
 
Teaching / Speaking
 
Plan / Organize
 
Correspondence / Clerical Skills
 
Mentoring / Motivating Others
 
Crafts & Special Interests
 
Small Business – Awareness/Network
 
Workshop Organizer
 
Other
 
 
NAME: _____________________________________________ EMAIL: _____________________________________________ CELL: ______________________________________________ PHONE: ____________________________________________ DATE: ______________________________________________