Christ Church UCC Vitality Survey
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1. Demographic questions
*
1
. Please choose one:
Please choose one:
Male
Female
*
2
. Age:
under 20
20-29
30-39
40-59
60-69
70 or over
Age:
*
3
. Work:
unemployed
student
house person
employed
retired
Work:
*
4
. How many years have you lived in this area?
1-5
6-15
16-25
25 or more
How many years have you lived in this area?
5
. How many years have you been a member of Christ Church?
(leave blank if zero)
1-5
6-15
16-25
25 or more
How many years have you been a member of Christ Church? (leave blank if zero)
6
. How many children do you have under the age of 22?
How many children do you have under the age of 22?
7
. The age ranges? (you can choose more than one answer) Leave blank if no children under 22.
The age ranges? (you can choose more than one answer) Leave blank if no children under 22.
Birth-4
5-12
13-17
18-22
*
8
. Approximately how often do you attend worship services?:
Approximately how often do you attend worship services?:
do not attend
1-2 times per year
1-2 times per 3 months
1 time per month
2-3 times per month
weekly
*
9
. How many church committees or groups do you participate in?
How many church committees or groups do you participate in?
0
1
2
3
4
5 or more
14%
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