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* 1. Name [Optional] _____________________________________________________________

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* 2. Role: ____ Youth _____ Parent

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* 3. Are you currently involved in youth ministry? If not, what is the primary reason?

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* 4. What are your favorite aspects of youth ministry? What things would you like to see as part of youth ministry? Please check all that apply.

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* 5. What suggestions do you have for youth faith formation?

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* 6. What suggestions do you have for social outings?

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* 7. What suggestions do you have for service opportunities?

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* 8. High School Youth Ministry currently meets on Tuesday evenings. Is this a good time for you? If not, what might be a better day/time?

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