Vital Impact Assessment

The purpose of this assessment is to identify strengths and needs in your congregation. It is being conducted by City Flourish, a community development research and training center, and initiative of the Evana Network. Your participation in this assessment is voluntary. You may choose not to participate.

The assessment involves filling an online or paper survey that will take approximately 15 minutes. Your responses will be confidential. The survey questions will identify demographic data, personal health, and spiritual beliefs and practices.

We will keep your information confidential. All data is stored in a password protected electronic format. The results of this study will be used for assessment purposes only and will be shared in aggregate form with your congregation's leaders. Any results shared will not include information that allows you to be personally identified.

ELECTRONIC CONSENT:
Continuing with the assessment indicates that you:
• you have read the above information
• you voluntarily agree to participate
• you are at least 13 years of age

If you do not wish to participate in the assessment, you may simply opt out.
The following demographic questions are intended to better understand the relationship between the congregation and community demographics. Individual responses will be kept anonymous. Feel free to skip any question you prefer not to answer.

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* 1. Approximately how many years have you attended this congregation?

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* 2. Approximately how many years have you been a Christian?

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* 3. Age:

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* 4. Gender:

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* 5. Ethnicity origin (or Race)

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* 6. Highest education level

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* 7. Current marital status

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* 8. How many children do you have?

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* 9. Did you become a Christian through a ministry of this church?

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* 10. On a scale of 1-10 (1: low, 10: high): How often do you read and reflect on the Bible for personal growth?

Never Occasionally Frequently
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i We adjusted the number you entered based on the slider’s scale.

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* 11. On a scale of 1-10 (1: low, 10: high): How often do you attend church services and events?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 12. On a scale of 1-10 (1: low, 10: high): How often do you attend small group or Sunday school meetings?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 13. On a scale of 1-10 (1: low, 10: high): How often do you intentionally disciple one or more people in the Christian faith?

Never Occasionally Frequently
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i We adjusted the number you entered based on the slider’s scale.

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* 14. On a scale of 1-10 (1: low, 10: high): How often do you fast a meal in order to draw closer to God?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 15. On a scale of 1-10 (1: low, 10: high): How often do you pray with your spouse outside of meal times? (Leave at 5 if not applicable)

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 16. On a scale of 1-10 (1: low, 10: high): How often do you disciple your children in the Christian faith? (Leave at 5 if not applicable)

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 17. On a scale of 1-10 (1: low, 10: high): How often do you sense a close connection to the Holy Spirit?

Never Occasionally Frequently
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i We adjusted the number you entered based on the slider’s scale.

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* 18. On a scale of 1-10 (1: low, 10: high): How often do you share the Gospel with an unbeliever?

Never Occasionally Frequently
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i We adjusted the number you entered based on the slider’s scale.

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* 19. On a scale of 1-10 (1: low, 10: high): How often do you invite someone to church who does not attend church?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 20. On a scale of 1-10 (1: low, 10: high) how strongly do you agree or disagree with the following statement: I am generous in giving away my income to God's kingdom priorities.

Strongly disagree Unsure Strongly agree
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 21. On a scale of 1-10 (1: low, 10: high): How often do you volunteer to help with church services and events?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 22. On a scale of 1-10 (1: low, 10: high): How often do you engage in acts of service outside of church events?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 23. On a scale of 1-10 (1: low, 10: high): How often do you extend hospitality to people in need?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 24. On a scale of 1-10 (1: low, 10: high): How often do you engage in harmful or addictive behaviors?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 25. On a scale of 1-10 (1: low, 10: high): How often do you feel depressed?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 26. On a scale of 1-10 (1: low, 10: high): How often do you feel lonely?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 27. On a scale of 1-10 (1: low, 10: high): How often do you worry that you don't have enough money for basic necessities (food, shelter)?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 28. On a scale of 1-10 (1: low, 10: high): How often do you worry about your physical health?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 29. On a scale of 1-10 (1: low, 10: high): How often do you engage with pornographic material (websites, videos, images)?

Never Occasionally Frequently
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 30. On a scale of 1-10 (1: very poor, 10: very strong): How strong is your relationship with your spouse? (Leave blank if not applicable)

Very poor Average Very strong
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 31. On a scale of 1-10 (1: very poor, 10: very strong): How strong is your relationship with your children? (Leave blank if not applicable)

Very poor Average Very strong
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 32. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: I have meaningful friendships.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 33. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: I have a strong support network (e.g., family, friends, neighbors).

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 34. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: People would say I personally resolve conflict in a Christlike manner.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 35. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: The Bible is the Word of God and is fully reliable and trustworthy for Christian faith and life.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 36. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: The local church's primary mission is to go and make disciples of those who do not believe.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 37. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: I fully believe in our church's statement of faith.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 38. On a scale of 1-10 (1: no relationship, 10: strong relationship), How strong is your relationship with God right now?

No relationship with God Unsure Strong relationship with God
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i We adjusted the number you entered based on the slider’s scale.

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* 39. On a scale of 1-10 (1: no relationship, 10: strong relationship), How strong was your relationship with God 5 years ago?

No relationship with God Unsure Strong relationship with God
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i We adjusted the number you entered based on the slider’s scale.

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* 40. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: I am excited about our church's future.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 41. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: Our church is making an impact in our community.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 42. On a scale of 1-10 (1: strongly disagree, 10: strongly agree), how strongly do you agree or disagree with the following statement: My relationship with our church is very important to me.

Strongly disagree Unsure Strongly agree
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i We adjusted the number you entered based on the slider’s scale.

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* 43. On a scale of 1-10 (1: no participation, 10: very high participation), What level of church participation do you have right now?

No participation Moderate Very high
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i We adjusted the number you entered based on the slider’s scale.

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* 44. On a scale of 1-10 (1: no participation, 10: very high participation), What level of church participation do you expect to have in the future?

No participation Moderate Very high
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i We adjusted the number you entered based on the slider’s scale.

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* 45. What is your greatest hope for the church moving forward? 

T