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* 1. Please identify which age group you currently belong to:

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* 2. Please identify your gender:

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* 3. Please identify which decade you joined the congregation:

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* 4. Please select FIVE items from the following list that you feel are strengths of your congregation:

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* 5. Please select FIVE items from the following list that you feel represent areas of concern for your congregation:

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* 6. Briefly describe how decisions get made at your church. [If the question does not apply please write N/A.]

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* 7. Based on your observations, what is your church's average worship attendance? (Please specify which service you attend if applicable).

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* 8. Our traditions are long standing and highly valued.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Check One:

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* 9. Our church deals with conflict well.

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Check one:

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* 10. Our church has an intentional Discipleship process that moves people towards a greater knowledge of Christ.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Check one:

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* 11. Our church is in a strong position financially.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Check one:

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* 12. It is easy for newcomers to become connected to our church.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Check one:

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* 13. Children's ministry is a priority in this church and whether its value is reflected in the budget, staffing and facilities.

  Strongly Disgree Disagree Neither Disagree Nor Agree Agree Strongly Agree
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* 14. Youth ministry is a priority in this church and its value is reflected in the budget, staffing and facilities.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Check one:

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* 15. It is easy to initiate change in our congregation with little resistance.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
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* 16. Our church has a signature ministry or program that most people in our community identify with our church.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
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* 17. Please identify the decade that you feel describes the golden years of this congregation.

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* 18. Please identify the church size listed below that you feel best describes your congregational identity:

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* 19. Please identify and list below the 3 greatest victories this church has had in the last 10 years and the year in which they occurred. [If the question does not apply please write N/A.]

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* 20. Please list the last 2-3 new ministries that were launched at this church and the year in which they occurred. [If the question does not apply please write N/A.]

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* 21. Please list 2-3 ministries that the congregation has recently tried that did not work, the year in which the ministries were launched and a brief assessment of why the ministry failed. [If the question does not apply please write N/A.]

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* 22. List the 3 best ministries this church offers to help it to connect and serve the community. [If the question does not apply please write N/A.]

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* 23. Please list the names of the pastors you consider to have most effectively led your congregation and 1 reason for the success of each. [If the question does not apply write N/A.]

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* 24. Please list the 3 most important events in the history of this church that helped them to move the mission of making disciples forward. [If the question does not apply please write N/A.]

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* 25. List what you feel are the 3 most disruptive events in the history of your church that hindered the mission of making disciples. [If the question does not apply please write N/A.]

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* 26. What is your church's vision? (N/A if you don't know)

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* 27. What is your church's mission? (N/A if you don't know)

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