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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.
1.
Are you male or female?
Male
Female
2.
What is your age?
13-17
18-29
30-39
40-49
50-59
60-69
70+
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
4.
How many children are you the parent or guardian for?
None
1
2
3
4
5 or more
5.
What is your ethnicity?
Asian
Black
Hispanic
Multiracial
White/Caucasian
Native American/American Indian
Other
6.
In what language are you most comfortable communicating?
English
Portuguese
Spanish
Creole
Other
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
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
9.
What zip code is your home located in? (Enter 5-digit zip code. For example, 33068 or 33309.)
