Pre-Assessment Questionnaire

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* 1. Your Contact Information

First Name *

Last Name *

Your Role

Church Name

City/Town

State/Province

Email Address *

Phone Number *

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* 2. What is your average adult attendance?

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* 3. How many people currently are in Small Groups, Home Groups, Life Groups?

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* 4. How many people are in Classes, Bible Studies, Support Groups, or any other regular on-going group at your church?

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* 5. What else does your church offer that would not have been included in the last two questions? How many people are in each?

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* 6. What are your Top 3 Issues or Problems in your Small Group Ministry?

1.

2.

3.

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