* 1. What is your first & last name?

* 2. What is your email address?

* 3. What is your zipcode?

* 4. What is your season of life? Check all that apply

* 5. If you have children at home, what age range are they? Check all that apply.

* 6. What is the best day/time for you to meet? (check all that apply)

  early morning mid morning lunch time afternoon evening

* 7. I am interested in getting together with: (check all that apply)

* 8. I am interested in getting together with others who enjoy: (check all that apply)

* 9. I am interested in these type of studies: (check all that apply)

* 10. I prefer: (please check all that apply)

* 11. I would participate in a retreat: (check all that apply)

* 12. What would you most like to get out of a retreat/ reason for participating?

* 13. What would you like the retreat to consist of? (check all that apply)

* 14. What areas from this survey would you be willing to help facilitate?

* 15. Please offer any comments or feedback on the idea of small groups at St. Matthew.

* 16. What is your gender?