* 1. Please identify your age range

* 2. Which describes you best?

* 3. Which describes you best?

* 4. Which time of the week works best for your schedule when planning women’s activities? (Please check all that apply)

* 5. Would you attend a local 2.5 day Women’s Conference (Fri. - Sun.)?

* 6. Please Review the areas below and prayerfully consider which area(s) you        believe you should focus on to achieve transformation, growth, & development by yielding yourself to the Holy Spirit during teaching, instruction, and             encouragement?   PLEASE MARK ALL THAT APPLY TO YOU.