Men's Community Check in Survey

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* 1. Please indicate your age range

18-24

25-34

35-44

45-54

55-64

65+

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* 2. Please provide your name, email, contact number, and which Rush Creek campus you attend

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* 3. Marital Status

Never Married

Married, first time

Remarried

Presently separated

Divorced & single (not dating)

Divorced & single (dating)

Widowed

Other (please specify)

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* 4. How would you describe your current church involvement?

New attender

Occasional attender

Regular attender

Highly involved attender (worship, serving & small group)

Highly involved attender (worship & serving only)

Highly involved attender (worship & small group only)

Other (please specify)

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* 5. How would you describe where you are on your spiritual journey?

Questioning the "truth" i.e. Religion and God

Investigating truth and a relationship with Christ

I'm a Christian, but don't feel like I'm growing

Growing in my relationship with Christ

Mature in my faith and looking to serve

Other (please specify)

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* 6. In your view, what are the most pressing challenges to men today?

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* 7. Please select topics that would most interest you.

Recovery-substance abuse, pornography, gambling etc.

Heart/Soul-resolving inner conflict

How to forgive & be released from anger

How to be a better husband

How to be a better father

Godly financial management

How to share my faith

Outreach/Missions

Serving

Discipleship & Mentoring

Maintaining a strong family

Crisis support

Prayer-corporate and personal

Faith in the workplace

Sexual integrity and purity

Discovering God's will for your life

Developing a devotional life

Raising Godly kids

Discovering spiritual gifts

Reasons for faith

Other (please specify)

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* 8. Would you like more information on attending a weekly men's small group bible study if the day and time was convenient for you?

	Mornings	Mid-day	Evenings	Anytime
Monday	Monday Mornings	Monday Mid-day	Monday Evenings	Monday Anytime
Tuesday	Tuesday Mornings	Tuesday Mid-day	Tuesday Evenings	Tuesday Anytime
Wednesday	Wednesday Mornings	Wednesday Mid-day	Wednesday Evenings	Wednesday Anytime
Thursday	Thursday Mornings	Thursday Mid-day	Thursday Evenings	Thursday Anytime
Friday	Friday Mornings	Friday Mid-day	Friday Evenings	Friday Anytime
Saturday	Saturday Mornings	Saturday Mid-day	Saturday Evenings	Saturday Anytime
Sunday	Sunday Mornings	Sunday Mid-day	Sunday Evenings	Sunday Anytime

Other (please specify)

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* 9. Please indicate areas in which you have a high degree of skills/experience/comfort

Planning/Strategy

Organizing

Outreach/Talking to new people

Writing

Graphics

Carpentry

Carrying a conversation

Email communication

Marketing

Mechanical

Computer Support (word, excel etc.)

Food preparation

Database Administration

Greeting/Welcoming new people

Musical skills (vocal and/or instrumental)

Social Media/Networking

Accounting

Other (please specify)

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* 10. Are you interested in helping mentor/disciple another man? Or, are you a man who desires to be mentored by another man? Please indicate all that apply:

I would be interested in MENTORING SOMEONE

I would be interested in BEING MENTORED

Not interested at this time

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* 11. How do you prefer to be notified about events at Rush Creek?

Phone

Text

Social Media

Other (please specify)