A Review Questionnaire for Rev. Terri Hord Owens (Opn)

Demographics

Question Title

* 1. Please tell us about you and your ministry

Person completing this survey

Church/Ministry

Position

Country

Email Address

Phone Number

Question Title

* 2. Region

Alabama & Northwest FL

Arizona

 Canada

 Capital Area

 Central Rocky Mountain

 Florida

 Georgia

 Great River

 Greater Kansas City

 Illinois/Wisconsin

 Indiana

 Kansas

 Kentucky

 Michigan

 Mid-America

 Nebraska

 North Carolina

 Northeastern

 Northern CA-Nevada

 Northern Lights

 Ohio

 Oklahoma

 Oregon/Southwest Idaho

 Pacific Southwest

 Pennsylvania

 South Carolina

 Southwest

 Tennessee

 Upper Midwest

 Virginia

 West Virginia

Question Title

* 3. Geographical Area

 Rural

 Suburban

 Urban

Other (please specify)

Question Title

* 4. Gender

Question Title

* 5. Age

 Under 18

 18 - 22

 23 - 29

 30 - 39

 40 - 49

 50 - 59

 60 – 69

 70 -79

 80 – 89

Above 90

Question Title

* 6. Race/ Ethnicity

Question Title

* 7. Status

Clergy

Laity