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* 1. How often does your congregation receive calls from community members stating a need for assistance?

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* 2. When you receive requests for assistance, what are the needs most often expressed? Please rank them in order of frequency, one being most often, five being least often.

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* 3. Do you currently have a list of priorities for local missions? If so, what are those priorities?

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* 4. Does your congregation currently have a Benevolence Plan (list of procedures for handling assistance requests)?

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* 5. If yes, is this plan meeting your needs? If selecting yes, skip to #10.

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* 6. If no, are you interested in receiving consultation and assistance in this area?

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* 7. Is your congregation interested in training and assistance with a Benevolence Plan?

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* 8. Is your congregation willing to pay for this technical assistance and consultation?

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* 9. If yes, what are you willing to pay?

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* 10. Do you have a paid staff member handling benevolence programs and requests?

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* 11. How many volunteers serve in your benevolence programs in a calendar year?

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* 12. Do you operate any outreach programs out of your congregation (i.e. ESL class, financial literacy, etc)?

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* 13. If yes, what outreach programs do you provide?

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* 14. If no, are you interested in operating such a program?

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* 15. Please rate the following list of potential programs by level of need in your community.

  Not needed Important Critical Don't know
Adult Literacy
ESL
Financial Literacy/Budgeting
GED
Health/Nutrition
Life Skills
Parenting

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* 16. Is your congregation interested in hosting or co-hosting an outreach program as part of your local missions focus? If no, skip to #20.

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* 17. Would your congregation be interested in training and assistance with offering an outreach program?

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* 18. Would your congregation be willing to pay for this technical assistance and consultation?

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* 19. If so, what are you willing to pay?

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* 20. In what other ways could Action Ministries support your congregation as you serve your community?

Thank you for your time!

T