Crossroads Church Community Groups Questionnaire
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Thank you for your interest in being a part of a community group at Crossroads Church. Please fill out this questionnaire and we will try to match you to a group. We are organizing new groups and someone will be contacting you soon to invite you to visit their group.

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If you answered yes above, what is the age (or ages) of your child? Newborn Age 1 Age 2 Age 3 Age 4 Age 5	Age 6 Age 7 Age 8 Age 9 Age 10 Age 11	Age 12 Age 13 Age 14 Age 15 Age 16 Age 17
Other (please specify)

Crossroads Church Community Groups Questionnaire
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First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Best Phone Number:

Email Address:

What day(s) of the week do you prefer? You may select more than one.

What city do you hope your group meets in?:

How often do you hope your group meets?

Which of the above options is most important to you?

Which of the following best describes your life stage or type of group desired? You may select more than one:

Do you require childcare to participate in a group?

If you answered yes above, what is the age (or ages) of your child?

I am interested in knowing more about LEADING a community group.

I am interested in opening my home to HOST a community group.

Please enter any additional comments below:

What day(s) of the week do you prefer? You may select more than one. Monday Tuesday Wednesday Thursday	Friday Saturday Sunday No Preference
Other (please specify)

Which of the following best describes your life stage or type of group desired? You may select more than one: Young Adult (Post College 27-35) Young Couple (20-35) Married Couples Age 35-45 Age 45-55 Age 55-65 Age 65+ Men Only Women Only	Single Adults Only Parents of Disabled Children Disabled Adults Only Spanish Speaking Young Families with Children Families with Teenagers All Ages and Stages Support Group Financial Peace University
Other (please specify)

Crossroads Church Community Groups QuestionnaireExit this survey

First Name:

Last Name:

Street Address:

City:

State:

Zip Code:

Best Phone Number:

Email Address:

What day(s) of the week do you prefer? You may select more than one.

What city do you hope your group meets in?:

How often do you hope your group meets?

Which of the above options is most important to you?

Which of the following best describes your life stage or type of group desired? You may select more than one:

Do you require childcare to participate in a group?

If you answered yes above, what is the age (or ages) of your child?

I am interested in knowing more about LEADING a community group.

I am interested in opening my home to HOST a community group.

Please enter any additional comments below:

Crossroads Church Community Groups Questionnaire
Exit this survey