1.Name

2.Phone Number

3.Email Address

4.You are

Single-no children

Single-children

Married-no children

Married-children

5.What activities would you most likely to participate? (select all that apply)

Bible Studies

Worship (Adoration, Mass, etc.)

Physical Activities (Hiking, biking, bowling etc.)

Movies

Book Club

Brewery

Retreats

Volunteering

Games (Trivia night, board games, etc.)

Talks

Concerts/Performances

Other (please specify)

6.How often would you participate?

Weekly

Monthly

Quarterly

Annually

7.When are you likely to participate 

Mornings

Lunches

Afternoons

Evenings

Weekends

8.Would you be interested in leading or planning an event, activity or program with the help of the Director of Youth and Young Adults

Yes

No