For a Synodal Church | Communion, Participation, Mission

The entire Catholic Church is called to participate in the upcoming Synod of Bishops! In preparation for the international Synod of Bishops in 2023, Pope Francis wants your input on the topic of “For a Synodal Church, Communion, Participation, and Mission.” People of all ages, Catholics – and those who are not in regular practice of the faith – are invited to provide their feedback on the Church’s mission.

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* 1. Gender

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* 2. Age Range

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American or African Diaspora

Hispanic or Latino

White/Caucasian

Multiple ethnicity / Other (please specify)

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* 4. Role at parish

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* 5. THE JOURNEYING COMPANIONS: In the Church and in society, we must remain side by side on the same road in support of one another. Considering this statement:

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No, Disagree	No, Strongly Disagree
5.a) Do you feel part of the Church?	5.a) Do you feel part of the Church? Yes, Strongly Agree	5.a) Do you feel part of the Church? Yes, Agree	5.a) Do you feel part of the Church? Neither Agree nor Disagree	5.a) Do you feel part of the Church? No, Disagree	5.a) Do you feel part of the Church? No, Strongly Disagree
5.b) Is the Church inclusive of all groups?	5.b) Is the Church inclusive of all groups? Yes, Strongly Agree	5.b) Is the Church inclusive of all groups? Yes, Agree	5.b) Is the Church inclusive of all groups? Neither Agree nor Disagree	5.b) Is the Church inclusive of all groups? No, Disagree	5.b) Is the Church inclusive of all groups? No, Strongly Disagree
5.c) Is the Church inclusive of Adults?	5.c) Is the Church inclusive of Adults? Yes, Strongly Agree	5.c) Is the Church inclusive of Adults? Yes, Agree	5.c) Is the Church inclusive of Adults? Neither Agree nor Disagree	5.c) Is the Church inclusive of Adults? No, Disagree	5.c) Is the Church inclusive of Adults? No, Strongly Disagree
5.d) Is the Church inclusive of Families?	5.d) Is the Church inclusive of Families? Yes, Strongly Agree	5.d) Is the Church inclusive of Families? Yes, Agree	5.d) Is the Church inclusive of Families? Neither Agree nor Disagree	5.d) Is the Church inclusive of Families? No, Disagree	5.d) Is the Church inclusive of Families? No, Strongly Disagree
5.e) Is the Church inclusive of the Elderly?	5.e) Is the Church inclusive of the Elderly? Yes, Strongly Agree	5.e) Is the Church inclusive of the Elderly? Yes, Agree	5.e) Is the Church inclusive of the Elderly? Neither Agree nor Disagree	5.e) Is the Church inclusive of the Elderly? No, Disagree	5.e) Is the Church inclusive of the Elderly? No, Strongly Disagree
5.f) Is the Church inclusive of Minorities?	5.f) Is the Church inclusive of Minorities? Yes, Strongly Agree	5.f) Is the Church inclusive of Minorities? Yes, Agree	5.f) Is the Church inclusive of Minorities? Neither Agree nor Disagree	5.f) Is the Church inclusive of Minorities? No, Disagree	5.f) Is the Church inclusive of Minorities? No, Strongly Disagree
5.g) Is the Church inclusive of the Youth?	5.g) Is the Church inclusive of the Youth? Yes, Strongly Agree	5.g) Is the Church inclusive of the Youth? Yes, Agree	5.g) Is the Church inclusive of the Youth? Neither Agree nor Disagree	5.g) Is the Church inclusive of the Youth? No, Disagree	5.g) Is the Church inclusive of the Youth? No, Strongly Disagree

What persons or groups are left out?

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* 6. LISTENING: Listening is the first step in our journey to understand one another. Considering this statement:

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No, Disagree	No, Strongly Disagree
6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful.	6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful. Yes, Strongly Agree	6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful. Yes, Agree	6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful. Neither Agree nor Disagree	6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful. No, Disagree	6.a) Our Church (parish, diocese, national and global) does a good job of listening to the faithful. No, Strongly Disagree
6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women.	6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women. Yes, Strongly Agree	6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women. Yes, Agree	6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women. Neither Agree nor Disagree	6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women. No, Disagree	6.b) Our Church listens to lay people (non: clergy or religious) especially young people and women. No, Strongly Disagree
6.c) As a Church we listen and respond to the social and cultural issues of the world.	6.c) As a Church we listen and respond to the social and cultural issues of the world. Yes, Strongly Agree	6.c) As a Church we listen and respond to the social and cultural issues of the world. Yes, Agree	6.c) As a Church we listen and respond to the social and cultural issues of the world. Neither Agree nor Disagree	6.c) As a Church we listen and respond to the social and cultural issues of the world. No, Disagree	6.c) As a Church we listen and respond to the social and cultural issues of the world. No, Strongly Disagree

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* 7. SPEAKING OUT: All are invited to speak with courage integrating freedom, truth, and charity.

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No Disagree	No Strongly Disagree
7.a) Does the Church promote an authentic style of communication with the parish community?	7.a) Does the Church promote an authentic style of communication with the parish community? Yes, Strongly Agree	7.a) Does the Church promote an authentic style of communication with the parish community? Yes, Agree	7.a) Does the Church promote an authentic style of communication with the parish community? Neither Agree nor Disagree	7.a) Does the Church promote an authentic style of communication with the parish community? No Disagree	7.a) Does the Church promote an authentic style of communication with the parish community? No Strongly Disagree
7.b) Does the Church promote transparency and accountability?	7.b) Does the Church promote transparency and accountability? Yes, Strongly Agree	7.b) Does the Church promote transparency and accountability? Yes, Agree	7.b) Does the Church promote transparency and accountability? Neither Agree nor Disagree	7.b) Does the Church promote transparency and accountability? No Disagree	7.b) Does the Church promote transparency and accountability? No Strongly Disagree

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* 8. CELEBRATING: Journeying together is only possible if it is based on listening to the Word and celebrating the Eucharist as a community of faith. Considering this statement:

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No, Disagree	No, Strongly Disagree
8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies.	8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies. Yes, Strongly Agree	8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies. Yes, Agree	8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies. Neither Agree nor Disagree	8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies. No, Disagree	8.a) The Church promotes the active participation of all the faithful/parishioners in our Liturgies. No, Strongly Disagree
8.b) Our Church gatherings and liturgies inspire and direct our journey together.	8.b) Our Church gatherings and liturgies inspire and direct our journey together. Yes, Strongly Agree	8.b) Our Church gatherings and liturgies inspire and direct our journey together. Yes, Agree	8.b) Our Church gatherings and liturgies inspire and direct our journey together. Neither Agree nor Disagree	8.b) Our Church gatherings and liturgies inspire and direct our journey together. No, Disagree	8.b) Our Church gatherings and liturgies inspire and direct our journey together. No, Strongly Disagree

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* 9. CO-RESPONSIBLE IN THE MISSION: Being A synodal Church means all members are called to participate as witnesses and disciples of Christ. Considering this statement:

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No, Disagree	No, Strongly Disagree
9.a) The Church call and encourage its members to active participation.	9.a) The Church call and encourage its members to active participation. Yes, Strongly Agree	9.a) The Church call and encourage its members to active participation. Yes, Agree	9.a) The Church call and encourage its members to active participation. Neither Agree nor Disagree	9.a) The Church call and encourage its members to active participation. No, Disagree	9.a) The Church call and encourage its members to active participation. No, Strongly Disagree
9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations.	9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations. Yes, Strongly Agree	9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations. Yes, Agree	9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations. Neither Agree nor Disagree	9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations. No, Disagree	9.b) The Church strives to integrate various customs and cultures into their gatherings through Eucharistic and other types of celebrations. No, Strongly Disagree
9.) The Church actively seek to create lay leaders.	9.) The Church actively seek to create lay leaders. Yes, Strongly Agree	9.) The Church actively seek to create lay leaders. Yes, Agree	9.) The Church actively seek to create lay leaders. Neither Agree nor Disagree	9.) The Church actively seek to create lay leaders. No, Disagree	9.) The Church actively seek to create lay leaders. No, Strongly Disagree

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* 10. [ FOR CLERGY, RELIGIOUS AND DIOCESAN/PARISH STAFF MEMBERS] DIALOGE IN CHURCH AND SOCIETY: Dialogue includes gather the experience of people across with within communities. Considering this statement:

	Yes, Strongly Agree	Yes, Agree	Neither Agree nor Disagree	No, Disagree	No, Strongly Disagree
10.a) The Church promotes collaboration with neighboring Dioceses.	10.a) The Church promotes collaboration with neighboring Dioceses. Yes, Strongly Agree	10.a) The Church promotes collaboration with neighboring Dioceses. Yes, Agree	10.a) The Church promotes collaboration with neighboring Dioceses. Neither Agree nor Disagree	10.a) The Church promotes collaboration with neighboring Dioceses. No, Disagree	10.a) The Church promotes collaboration with neighboring Dioceses. No, Strongly Disagree
10.b) The Church dialogues with other sectors of society (politics, economics, across cultures).	10.b) The Church dialogues with other sectors of society (politics, economics, across cultures). Yes, Strongly Agree	10.b) The Church dialogues with other sectors of society (politics, economics, across cultures). Yes, Agree	10.b) The Church dialogues with other sectors of society (politics, economics, across cultures). Neither Agree nor Disagree	10.b) The Church dialogues with other sectors of society (politics, economics, across cultures). No, Disagree	10.b) The Church dialogues with other sectors of society (politics, economics, across cultures). No, Strongly Disagree

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* 11. Please feel free to add any additional thoughts or comments that will further aid in the work to create a Church where we can journey together in the footsteps of our Lord.