NAME:     

E-MAIL:   

I live In:  

1.   What do you think is the greatest need in your community:

2.   What do you think is the most significant issue that families face today? (Check one)

     Financial Pressures     Busyness    Poor Communication

     Negative Influences on Children    Blended Families     Balance of Family & Work  

3.   Are you actively attending any church?    YES   NO

4.   Why do you think most people don't attend church?

5.   If you were to look for a church to attend, what kind of things would you look for?

6.   What advice can you give a church that really wants to be helpful to people?

7.   If a one hour Bible study was offered at someone's home in your community, would you be interested in attending?

YES          NO