Crossroads Senior Adult Survey Thank you for participating with us... Question Title * 1. I live an active life. True False OK Question Title * 2. I listen to Christian Radio and/or TV programs… Often Sometimes Never OK Question Title * 3. I go to the movie theatre… Almost every week Twice a month Once a month Less than once a month OK Question Title * 4. I go out to eat... Almost every week Twice a month Once a month Less than once a month OK Question Title * 5. I visit a local senior center… Almost every week Twice a month Once a month Less than once a month OK Question Title * 6. I am currently… Employed Unemployed at this time Working part time Retired and active Retired and bored OK Question Title * 7. I see my kids and grandchildren… Often Sometimes Almost never I don’t have grandchildren OK Question Title * 8. I would describe myself as… (choose all that apply) Having close friends Connected to my family No real close friends Mostly on my own Lonely OK Question Title * 9. While growing up, did you have the advantage of going to church? Yes, Catholic church / school Yes, Protestant church / school No OK Question Title * 10. I consider myself… A committed, forgiven Christian learning to be more fully devoted to Jesus. A cultural Christian—I don’t take my faith too seriously. Someone who’s still deciding whether or not to believe in and follow Jesus Christ. Other (please specify) OK Question Title * 11. I consider Crossroads my “home” church. True False OK Question Title * 12. I have been involved here at Crossroads for Less than 6 months Between 6 months and two years 2-4 years 5-10 years More than 10 years OK Question Title * 13. I serve within a Crossroads ministry. True False OK Question Title * 14. (If True) I serve… Almost every week Twice a month Once a month OK Question Title * 15. I serve with the following ministry/ministries: OK Question Title * 16. I would like to learn about our serving opportunities. Yes No OK Question Title * 17. I have completed the Crossroads “Growth Track” 101, 201, 301, 401 Classes. True False OK Question Title * 18. I attend church… Almost every week Twice a month Once a month Less than once a month OK Question Title * 19. I have read the entire Bible True False OK Question Title * 20. I have a good understanding the Bible. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 21. I am part of a LIFE Group. True False OK Question Title * 22. I would like information about our LIFE Groups. Yes No OK Question Title * 23. I am part of a Bible study other than a LIFE Group. Yes No OK Question Title * 24. My Bible study is offered through Crossroads. Yes No OK Question Title * 25. I believe the Bible is… The actual Word of God A good book written by man, like many other religious works Myth and legend OK Question Title * 26. My spiritual gift(s) are… choose all that apply I’m not sure administration celibacy discernment exhortation evangelism faith giving healings helps hospitality knowledge leadership martyrdom mercy miracles missions pastor prophecy service teaching tongues or interpretation voluntary poverty wisdom OK Question Title * 27. I am confident that I am saved and that I will go to heaven. Yes No OK Question Title * 28. Health and Fitness I am currently Less than 50 years old 50-59 years old 60-69 years old 70-79 years old 80+ years old OK Question Title * 29. I would describe my physical health as Good or great Some weakness and problems Poor I have a disability What disability do you have? OK Question Title * 30. I worry about my health Never Sometimes Often OK Question Title * 31. I belong to a gym or fitness center. True False OK Question Title * 32. I drink alcohol Never Sometimes Often OK Question Title * 33. I have enough money to do what I want. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 34. I plan to leave an inheritance to my children/grandchildren. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 35. I understand God’s financial principles and try very hard to live by them. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 36. I give a full tithe (10% of all my income) to Crossroads. True False OK Question Title * 37. I am interested in getting a handle on my finances. Please contact me about the next Dave Ramsey “Financial Peace University” class. Yes No OK Question Title * 38. The one thing I wish others knew about me is… (There is no right or wrong answer here) OK Question Title * 39. I feel like I have led a significant life and made a difference. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 40. I feel loved and cared about in my church. Strongly Agree Agree Disagree Strongly Disagree OK Question Title * 41. I would appreciate a call from a pastor. Yes No OK Question Title * 42. I need prayer for… (Share a need or opportunity and we will pray for you) OK Question Title * 43. (Optional Information)My name is OK Question Title * 44. (Optional Information)My phone number is OK Question Title * 45. (Optional Information)My mailing address is OK Question Title * 46. (Optional Information)My email address is OK DONE