* 1. Age

* 2. Gender

* 3. Years in Parish

* 4. I experience God most through

* 5. Over the next five years, I would hope that my parish would provide: (check those of interest that you would actually attend)

* 6. If you chose "support groups", "classes/workshops", or "other" in questions 4 or 5, please describe here.

* 7. Finish the following statement: "With regards to faith formation in this parish, wouldn't it be nice if . . ."

* 8. The greatest obstacle(s) facing my personal participation in opportunities to grow in faith at St. Francis Xavier is (are):

* 9. Given what you know of Christ Renews His Parish, what would keep you from attending this weekend retreat?

* 10. I would be available to attend events on the following days/times:

  Sunday Monday Tuesday Wednesday Thursday Friday Saturday Other
Lunch during the day
Saturday morning
Tuesday evening after Mass