Exit

Calvary Chapel Fort Lauderdale Spiritual Assessment Survey 2018

Part 1 of 5: Tell us about yourself

Thank you for taking this survey. To start off, please share a little bit about yourself.

Question Title

* 1. Are you male or female?

Male

Female

Question Title

* 2. What is your age?

13-17

18-29

30-39

40-49

50-59

60-69

70+

Question Title

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

Widowed

Married

Divorced

Separated

Single, but living with a significant other

Single, never married

Question Title

* 4. How many children are you the parent or guardian for?

None

5 or more

Question Title

* 5. What is your ethnicity?

Asian

Black

Hispanic

Multiracial

White/Caucasian

Native American/American Indian

Other

Question Title

* 6. In what language are you most comfortable communicating?

English

Portuguese

Spanish

Creole

Other

Question Title

* 7. Which of the following categories best describes your employment status?

Employed, working full-time

Employed, working part-time

Not employed

Homemaker

Student

Retired

Disabled, unable to work

Question Title

* 8. If employed, what best describes your employment?

I am self employed/owner of a business

I work for a small, privately owned business (less than 500 employees)

I work for a large corporation (over 500 employees)

I work for a non-profit or NGO (Non Government Organization)

I work for a municipality/government (local, state or federal level)

Other

Question Title

* 1. Are you male or female?

Question Title

* 2. What is your age?

Question Title

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

Question Title

* 4. How many children are you the parent or guardian for?

Question Title

* 5. What is your ethnicity?

Question Title

* 6. In what language are you most comfortable communicating?

Question Title

* 7. Which of the following categories best describes your employment status?

Question Title

* 8. If employed, what best describes your employment?

Question Title

* 9. What zip code is your home located in? (Enter 5-digit zip code. For example, 33068 or 33309.)