Fall 2012 LIFE Group Survey
Exit this survey
Please complete one survey for your family unless members of your family will be attending different LIFE Groups hours. If so, then please complete a survey for each hour that will be attended.
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1
. What hour(s) do you/your family currently attend LIFE Group(s)?
What hour(s) do you/your family currently attend LIFE Group(s)?
8:00
9:30
11:00
I/We do not currently attend LIFE Group(s)
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2
. What hour will you/your family be attending LIFE Group(s)?
(LIFE Groups for students Grades 6-12 will be offered at 8:00 and 9:30)
What hour will you/your family be attending LIFE Group(s)? (LIFE Groups for students Grades 6-12 will be offered at 8:00 and 9:30)
8:00
9:30
11:00
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3
. List the people included in this survey.
List the people included in this survey.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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4
. In order to help us with LIFE Group planning, please indicate the ages of your family members who will be attending LIFE Groups this Fall.
In order to help us with LIFE Group planning, please indicate the ages of your family members who will be attending LIFE Groups this Fall.
Birth - 1
2-3
4-5
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
College
20-29
30-39
40-49
50-59
60-69
70-79
80+
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5
. To best help us, please provide the name and contact information of the head of household.
To best help us, please provide the name and contact information of the head of household.
Name
Address
Address 2
City
State
ZIP
Email Address
Phone Number
Current LIFE Group
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