* 2. How often do you attend worship as a household?

* 3. How would you best describe your household status?

* 4. What best describes your household's ethnic background?

* 5. Do you speak any languages other than English in your household?

* 6. How many people currently live in your household?

* 7. Does any member of your household participate in the following parish offerings? (Check all that apply)

* 8. Please assess the following statements concerning faith practice in your household.

  Strongly Agree Agree Somewhat Agree Disagree
We pray daily
We talk often and openly about our faith
We eat meals together frequently
Our faith is a strong part of household identity
The parish is the primary place for learning and faith formation
We regularly volunteer at our parish
We regularly perform Christian Service in the community
We celebrate Lent and Advent in the home with special prayers and rituals
We put a high value on being moral and trying to always do the right thing
Catholic teachings on marriage and sexuality help create strong family life
The home is the primary place for learning and faith formation
We read the Bible at least once a week between Sundays
We place a high priority on learning more about our faith
We meet with members of other households regularly for spiritual enrichment

* 9. What type of services can your parish offer to strengthen the faith life of your household?

  Very Needed Needed Somewhat Needed Not Needed
Household prayer resources
Training on home technology issues
Alcohol, drug, and addiction support
Intergenerational Bible studies
Guidance in understanding Catholic moral teachings
Religious Education in language other than English
Natural Family Planning trainings for married and engaged couples
Family counseling resources
Stress and time management offerings
Resources and support for divorced persons
Intergenerational understanding trainings
Resources and support for immigrant households
Promotion of Catholic internet, book, and media resources
Resources on adoption and foster-parenting
Parenting classes
Assistance with having a marriage recognized by the Catholic Church
Multicultural understanding training
Faith and friendship groups for Catholics with same-sex attraction
Resources and support for blended families
Christian service opportunities for your household
Marriage enrichment evenings/weekends
Raising children in faith classes
Resources and support for migrants and refugees
Loss/grief support groups
Support for adoptive families
Domestic violence resources
Resources and support for marriages of different faiths or denominations
Single parent support groups
Financial/budget support and training
Easier ways to access community services
Resources and support for persons with disabilities
Faith learning and formation opportunities through internet and social media
Information on the annulment process
Opportunities to meet in small faith-support communities
Faith and friendship groups for single Catholics

* 10. What does the term "Domestic Church" mean to you?