Skip to content
The Ten Fold Initiative Assessment
*
1.
What is your full name?
(Required.)
*
2.
Email Address?
(Required.)
*
3.
Phone Number?
(Required.)
*
4.
Select Your Age Range
(Required.)
Under 18
19-29
30-49
50-69
70+
5.
What is your race/ethnicity?
(Select all that apply)
White
Black/African American
Hispanic/Latino
Asian
Native American
Other (please specify)
*
6.
Which languages do you speak?
(Select all that apply)
(Required.)
English
Spanish
Other (please specify)
7.
Which church do you attend?
Galilee Baptist Church
Grace Pointe Church
Grace Refuge Church
Greater Tucker Baptist Church
Harrison UMC
Mt. Peria MBC
New City East Lake
New City Fellowship
New Mt. Carmel Baptist Church
Orchard Park SDA
Warren Chapel AME Church
Washington Hills UMC
Other (please specify)
*
8.
How long have you been attending your church?
(Required.)
Less Than 2 Years
2-5 Years
More than 5 Years
*
9.
What is your highest level of education?
(Required.)
High School
Associates Degree
Bachelors Degree
Masters Degree
Doctorate
Other (please specify)
*
10.
What type of job do you currently have?
(Required.)
Athletics
Beautification/Spa
Business
Communications/PR & Marketing
Construction
Customer Service
Education
Engineer/Architect
Finance
Healthcare
IT/Tech
Legal
Manual Labor/Skilled Trade
Military/Government
Photo/Video/Creative
Police/Fire/Safety
Real Estate/Housing
Retired
Social Work/Human Services
Student
Unemployed/Stay at home parent
Vocational Ministry
Other (please specify)
11.
Current Job Level?
Entry Level
Manager
Director
Executive/C Suite
Other (please specify)
*
12.
What talent or skill do you have that could be used to serve others?
(Outside of a Sunday Service. Select all that apply)
(Required.)
Admin/Organization
Art/Crafts
Beautification/Spa
Bilingual/Translation
Business
Cleaning/Basic Services
Communications/PR & Marketing
Construction/Home Improvement
Cooking/Baking
Data & Research/Tech
Discipleship
Event Planning
Finance/Bookkeeping
Fundraising
Gardening
Giving Financially
Healthcare Services
Hospitality
Legal Services
Mechanic/Engineer
Music/Dance
Networking
Photo/Video
Prayer
Project Management
Security
Social Work/Counseling
Strategic Planning/Visioning
Teaching/Mentoring
Transportation
Other (please specify)
13.
Do you want to serve your church and community using your professional or personal skills?
Yes
No
14.
If yes, how many hours a week would you desire to serve?
Less than 1 hour
1-2 hours
2-4 hours
Well....how much are you paying?
15.
What issues in the community are you passionate about?
(Select all that apply)
Poverty
Homelessness
Human Trafficking
Education
Racism
Justice
Food Insecurity
Healthcare
Foster Care/Adoption
Immigration/Refugee
Incarceration
Other (please specify)
16.
What local organizations are currently addressing the issue(s) you are passionate about?
17.
Do you currently volunteer or work with any of those organizations?
Yes
No