* 1. What is your age?

* 2. Which of the following best describes your current relationship status?

* 3. Preferred Day for Women's Ministry meetings/events:

* 4. Would you need child care during women's ministry meetings:

* 5. Are you currently or have you been involved in any of the following at Ebenezer Mennonite Church?

* 6. If you could have a need fulfilled by a Women's Ministry Program, what would it be?

* 7. If you are involved in church/women's ministry, what barriers exist to your involvement?

* 8. Do you have an interest in participating in a women's ministry activity in our church?

* 9. Would you be interested in serving on women's ministry team to see your interest fulfilled in our church?

* 10. Optional contact information:

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