Services Offered by NM Churches & Ministries to the CommunityThis survey should be completed by a pastor or leader who is familiar with the wide scope of your church's ministry.

Question Title

* 1. Please provide us with your church/ministry contact information

Your Name

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

Question Title

* 2. What ABUSE RECOVERY SERVICES does your church/ministry offer?

None

Domestic Abuse Counseling

Domestic Abuse Shelter

Child Abuse Counseling

Abuse Education and Training

Emergency Safety Placement

Recovery from Abuse Support Groups

Anger Management Counseling/Support

Other (please specify)

Question Title

* 3. What ADDICTION RECOVERY SERVICES does your church/ministry offer?

None

Drug Addiction Prevention

Detox

Rehabilitation Center

Drug Addiction Support Groups

Alcohol Addiction Support Groups

Food Addiction and Eating Disorders Recovery Services

Sex Addiction Recovery Services

Pornography Addiction Recovery Services

Gambling Addiction Recovery Services

Emergency Child Placement During Parental Addiction Crisis

Addiction Counseling

Other (please specify)

Question Title

* 4. What CRISIS MINISTRY SERVICES does your church/ministry offer?

None

Soup Kitchen

Food Pantry

Utilities Assistance

Rent Assistance

Grocery Store Gift Cards

Crisis Response Team in the Event of a Local Crisis

Temporary Shelter at Your Church in Event of a Local Crisis

Host Homes for Displaced People During an Emergency

Medical Emergency Assistance

Clothing Store

Free Household Items

Other (please specify)

Question Title

* 5. What CRISIS PREGNANCY SERVICES does your church/ministry offer?

None

Pregnancy Tests

Unplanned Pregnancy Support

Ultrasounds

STD Testing

Options Counseling

Post Abortion Counseling

Pregnancy/Parenting Workshops

Abortion Education

Mobile Unit

Crisis Pregnancy Shelter

Other (please specify)

Question Title

* 6. What EDUCATIONAL services does your church/ministry offer?

None

Subsidized Daycare

Subsidized Preschool

Elementary School

Middle School

High School

Scholarships

School of Ministry

Internships

Other (please specify)

Question Title

* 7. What services does your church/ministry offer during a FAMILY DEATH or PROLONGED ILLNESS?

None

Meals for Families

Hospital Visits

Cancer Support/Recovery Groups

Grief Support Groups

Funeral Expenses Assistance

Free Facility Use for Funerals

Free Pastoral Eulogies and Funeral Coordination

Widow Support

Other (please specify)

Question Title

* 8. What FAMILY SUPPORT SERVICES does your church/ministry offer?

None

Children's Meal Supports

Children's School Supplies

Car Maintenance

Childcare Support

Date Nights / Child Care Available

Other (please specify)

Question Title

* 9. What FINANCIAL TRAINING SERVICES does your church/ministry offer?

None

Budgeting Workshops

Financial Peace University

Bankruptcy Prevention Workshops

Building Your Credit Workshops

Financial Counseling

Investment Counseling

Other (please specify)

Question Title

* 10. What HEALTH & NUTRITION SERVICES does your church/ministry offer?

None

Nutrition Workshops

Gardening Workshops

Community Garden

Exercise Groups

Personal Trainers

Other (please specify)

Question Title

* 11. What services does your church/ministry offer to the HOMELESS?

None

Homeless Shelter

Homeless Hotel Vouchers

Transportation for Homeless

Food Assistance for Homeless

Mental Health Support for Homeless

Hygiene Supplies for Homeless

Homeless-to-work Support

Showers at Your Facility

Haircuts for homeless

Dog Food for Pets

Clothing

Counseling

Other (please specify)

Question Title

* 12. What MARRIAGE RESOURCES does your church/ministry offer?

None

Pre-marital Counseling

Marriage Enrichment Classes/Workshops

Marriage Retreats

Marriage Counseling

Marriage Mentoring

Divorce Care

Date Night Events

Other (please specify)

Question Title

* 13. What MEDICAL/DENTAL SERVICES does your church/ministry offer?

None

Health Screenings

Dental Clinic

Medical Mobile Unit

Medical Clinic

Free or Reduced Prescriptions

Other (please specify)

Question Title

* 14. What MENTORING SERVICES does your church/ministry offer?

None

Mentoring for Women

Mentoring for Men

Big Brothers/Big Sisters

Business Mentoring

Other (please specify)

Question Title

* 15. What services does your church/ministry offer to MILITARY FAMILIES?

None

Church Adopts Military Families for relationship and community reasons

MIlitary Wives' Support Group

Military Appreciation Days

MIlitary Spouse Night Out

Letters to Service Members

Care Packages Mailed to Service Members

Welcome Home Events for Returning Service Members

Counseling

Veterans' PTSD Support Groups

Financial Assistance for Veterans

Reintegration Services for Returning Service Members

Other (please specify)

Question Title

* 16. What PARENTING RESOURCES does your church/ministry offer?

None

Parenting Counseling

New Parent Financial Assistance

Maternity Clothing

New Baby Clothing

Diaper Donations

Meals for New Parents

Pregnancy Support

Post-Partum Support

Foster Parent Respite

Foster Parent Appreciation Events

Supplies for Foster Children

MOPS Meetings

Parenting Support Groups

Adoptive Families Support Groups

Other (please specify)

Question Title

* 17. What PRISON MINISTRIES does your church/ministry offer?

None

Angel Tree

Women's Prison Ministry

Men's Prison Ministry

Substance Abuse Recovery Group Inside Prison

Anger Management Support Groups

Transitional Housing for Newly Released Prisoners

Reentry Mentoring

Relationship Counseling

Job Skill Workshops

Job Placement Assistance

Other (please specify)

Question Title

* 18. What SENIOR SERVICES does your church/ministry offer?

None

Senior Food Assistance

Senior Yard Work

Senior Transportation

Repairs Assistance in Seniors' Homes

Car Maintenance for Seniors

Senior Utilities Assistance

Senior Housing Assistance

Alzheimer's Support Groups

Nursing Home Visitation

Other (please specify)

Question Title

* 19. What SEX TRAFFICKING PREVENTION AND RECOVERY SERVICES does your church/ministry offer?

None

Trained Rescue Team for Victims of Sex Trafficking

Safe House / Shelter for victims of Sex Trafficking

Transitional Housing

Detox Services

Aftercare for Victims of Sex Trafficking

Advocacy on Behalf of Victims of Sex Trafficking

Life Skills Workshops

Other (please specify)

Question Title

* 20. What SPECIAL NEEDS services does your church/ministry offer?

None

Special Needs Respite for parents of children with disabilities

Financial Assistance for medical expenses of children with disabilities

Special Needs Transportation Services

Children's Ministry Specifically for Children with Special Needs

Special Needs Support Groups

Other (please specify)

Question Title

* 21. Are there additional services that your church/ministry provides, which are not included in this survey?

Yes, Please specify

Question Title

* 22. Would you like to join our New Mexico Prays Mailing List for updates on our events, initiatives and prayer resources?

I'm already on the mailing list

Yes

Question Title

* 23. Are you willing to offer the services you told us about to the public? (People who do not attend your church)

Yes

Other (please specify)

Question Title

* 24. I hereby certify that our organization will not require people to attend or participate in any kind of religious activity in order to receive the services and programs we provide.

Yes