In this survey, the term “health” is used in the broadest sense to describe the physical, emotional, spiritual and social well-being of a person or institution.  “Health care” means all the ways we promote and develop good health and "medical care” refers to the ways we treat illness.

The purpose of this survey is to identify the health needs and interests of members, introduce new ideas about health ministries, discern the church’s present health ministries and discover resources for any additional health ministry actions your congregation may consider.

Using the broader view of health, please answer the following questions.

Question Title

* 1. What health and medical problems do you have, or do you know as an individual or family member? (Check all that apply.)

Question Title

* 2. What health and medical problems do you have, or do you know of in your congregation or community? (Please check all that apply.)

Question Title

* 3. In your congregation’s meetings, classes, worship, and sermons, about how often do you hear or talk about each of the following from a faith perspective?

  Often Sometimes Rarely Never
Physical Health
Emotional/mental health
Social/relational health
Medical issues
How much interest do you and your congregation have in learning more and taking some active steps to improve HEALTH at each of these levels? With 5 representing "great interest" and 1 representing "little interest," please rate the following:

Question Title

* 4. As an individual

  5 4 3 2 1
Individual health issues
Family health issues
Congregational health
Health in our community

Question Title

* 5. As a congregation

  5 4 3 2 1
Individual health issues
Family health issues
Congregational health
Health in our community

Question Title

* 6. With 5 representing "great interest" and 1 representing "little interest," how much interest is there in learning more and taking active steps to improve MEDICAL CARE at the same levels?

  5 4 3 2 1
Individual medical issues
Family medical issues
Health issues in our congregation
Health issues in our community

Question Title

* 7. Are there any specific health-related activities you would like to see occur or participate in?

Question Title

* 8. Do you need additional information concerning specific health/medical topics or issues? Please list below. 

Question Title

* 9. If you would like special assistance for yourself, a family member, or your congregation, please write below:

T