CM Parent Dome Survey

Parents of children (up to 6th grade):
We NEED and VALUE your feedback. Please take a few minutes to respond to the questions below. Thank you for helping us better serve you!

Question Title

* 1. Membership Status:

Member

Regular Attendee

Question Title

* 2. What is your gender?

Female

Male

Question Title

* 3. What is your age?

18 to 24

25 to 35

36 and older

Question Title

* 4. Marital Status

Question Title

* 5. Child(ren) age/grade (CHECK ALL THAT APPLY):

0-12 months

12 mos. - 3 yrs. old (NOT POTTY-TRAINED)

3 yrs. - K4 (FULLY POTTY TRAINED)

K5 - 2nd Grade

3rd - 6th Grade

Other (please specify)

Question Title

* 6. How often does your child/children (up to 6th grade) attend Children's Ministry (CM) services at the Bridge?

Weekly

Once a month

Twice per month

Never

Question Title

* 1. Membership Status:

Question Title

* 2. What is your gender?

Question Title

* 3. What is your age?

Question Title

* 4. Marital Status

Question Title

* 5. Child(ren) age/grade (CHECK ALL THAT APPLY):

Question Title

* 6. How often does your child/children (up to 6th grade) attend Children's Ministry (CM) services at the Bridge?

Question Title

* 7. If your child/children do NOT attend CM services on a weekly basis, please tell us why.