Westerville First Presbyterian Church

Congregational Members Survey

Please take a few minutes to complete the following survey. The Health Ministry Team will use the results to plan programs/activities that will meet the interest and needs of our congregational members. All results are anonymous. Thank you.

In which of the following areas would you like to receive more health information (written and/or orally presented)?

Question Title

* 1. Healthy Living

Fitness

Nutrition

Disease Prevention

Other (please specify)

Question Title

* 2. Healthy Families

Behavioral Health

Parenting Issues

Safety and Risk Factors

Other (please specify)

Question Title

* 3. Healthy Mind and Spirit

Stress Reduction

Loneliness, Anxiety and Depression

Spirituality

Complementary Health (e.g., Yoga, Meditation, etc.)

Other (please specify)

Question Title

* 4. Healthy Aging

End of Life Planning and Decisions

Medication Education

Caregiving

Other (please specify)

Question Title

* 5. For classification purposes only, please select your age:

<18

18-30

31-50

51-65

>65