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.

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1. Are you male or female?

Male

Female

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2. What is your age?

13-17

18-29

30-39

40-49

50-59

60-69

70+

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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

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

None

5 or more

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5. What is your ethnicity?

Asian

Black

Hispanic

Multiracial

White/Caucasian

Native American/American Indian

Other

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6. In what language are you most comfortable communicating?

English

Portuguese

Spanish

Creole

Other

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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

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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

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* 1. Are you male or female?

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* 2. What is your age?

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

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

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* 5. What is your ethnicity?

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

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

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

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

1. Are you male or female?

2. What is your age?

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

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

5. What is your ethnicity?

6. In what language are you most comfortable communicating?

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

8. If employed, what best describes your employment?

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