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* 1. What campus region do you most regularly attend?

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* 2. What is your age range?

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* 3. My immediate family is regularly engaged with the following ministries (please select all that apply):

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* 4. Please rate the consistency of your Bible study time:

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* 5. Please rate the consistency of your prayer time:

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* 6. How would you rate your perceived spiritual growth over the last 12 months through Bible study and prayer?

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* 7. Assuming that all of us struggle with various challenges, how would you rate each of the following areas as a challenge in your life (strong agreement indicates that you view it as a significant challenge)

  Strongly Agree Agree Somewhat Agree Somewhat Disagree Disagree Strongly Disagree N/A
Relationship with Spouse
Relationships with Immediate Family Members (not a spouse)
Time Management
Money Management
Relationships with Friends
Career Satisfaction

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* 8. Our family has ongoing intentional conversations about how the Bible applies to everyday life situations.

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* 9. Our family has ongoing intentional activities and moments to build family identity and memories.

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* 10. Our family has an absolute standard for truth and intentionally works to instill that into our hearts and minds and into the hearts and minds of our children.

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* 11. Our family intentionally affirms the truth that a person’s worth is determined fully by their status as one of God’s creations and thus also intentionally discredits other attempts to define value (by career, sports, finances, relationships, etc.).

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* 12. Our family intentionally works to equip family members to minister to and bless others using their gifts, talents, and abilities.

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* 13. What ministries and opportunities are most meaningful to you and your family?

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* 14. What are the primary needs related to discipleship in your home?

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