Action Ministries Survey of Congregational Needs Question Title * 1. How often does your congregation receive calls from community members stating a need for assistance? Multiple times per day Once a day Few times per week Once a week Rarely Never Other (please specify) Question Title * 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. 1 2 3 4 5 Rent assistance 1 2 3 4 5 Utility assistance 1 2 3 4 5 Employment support 1 2 3 4 5 Housing 1 2 3 4 5 Hunger relief Question Title * 3. Do you currently have a list of priorities for local missions? If so, what are those priorities? Question Title * 4. Does your congregation currently have a Benevolence Plan (list of procedures for handling assistance requests)? Yes No Question Title * 5. If yes, is this plan meeting your needs? If selecting yes, skip to #10. Yes No Other (please specify) Question Title * 6. If no, are you interested in receiving consultation and assistance in this area? Yes No Other (please specify) Question Title * 7. Is your congregation interested in training and assistance with a Benevolence Plan? Yes No Question Title * 8. Is your congregation willing to pay for this technical assistance and consultation? Yes No Question Title * 9. If yes, what are you willing to pay? Question Title * 10. Do you have a paid staff member handling benevolence programs and requests? Part-time staff member Full-time staff member No paid staff member Other (please specify) Question Title * 11. How many volunteers serve in your benevolence programs in a calendar year? 0-10 11-50 51-100 101-200 201+ Question Title * 12. Do you operate any outreach programs out of your congregation (i.e. ESL class, financial literacy, etc)? Yes No Question Title * 13. If yes, what outreach programs do you provide? Question Title * 14. If no, are you interested in operating such a program? Yes No Please explain Question Title * 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 Adult Literacy Not needed Adult Literacy Important Adult Literacy Critical Adult Literacy Don't know ESL ESL Not needed ESL Important ESL Critical ESL Don't know Financial Literacy/Budgeting Financial Literacy/Budgeting Not needed Financial Literacy/Budgeting Important Financial Literacy/Budgeting Critical Financial Literacy/Budgeting Don't know GED GED Not needed GED Important GED Critical GED Don't know Health/Nutrition Health/Nutrition Not needed Health/Nutrition Important Health/Nutrition Critical Health/Nutrition Don't know Life Skills Life Skills Not needed Life Skills Important Life Skills Critical Life Skills Don't know Parenting Parenting Not needed Parenting Important Parenting Critical Parenting Don't know Other (please specify) Question Title * 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. Yes No Question Title * 17. Would your congregation be interested in training and assistance with offering an outreach program? Yes No Question Title * 18. Would your congregation be willing to pay for this technical assistance and consultation? Yes No Question Title * 19. If so, what are you willing to pay? Question Title * 20. In what other ways could Action Ministries support your congregation as you serve your community? Thank you for your time! Done