This ANONYMOUS survey has been developed to assess the health needs of the congregation in order to determine how we may best begin to meet our needs.  Your input is very important in shaping the direction of the congregational Health and Wellness Table.  Please take a few minutes to complete this survey.

* 1. What is your age?

* 2. What gender do identify as?

* 3. Which of the following best describes your current relationship status?

* 4. What types of health-related activities would you be interested in partcipating in?

* 5. Please select any educational topics/lectures/programs which you would be interested in attending:

* 6. What types of support groups/programs would you be interested in seeing available at church?

* 7. Please list any other suggestions for activities, events, support groups, health education topics, etc. you would like to see presented by the Health & Wellness Table at Lord of Life: