Community Survey Question Title * 1. Do you go to church? Yes No Question Title * 2. Have you ever gone to church? Yes No Question Title * 3. If you don't, why not? Question Title * 4. In general, how do you perceive the church? Positive Negative Neutral Question Title * 5. What drew you, or would draw you into a church? Question Title * 6. What would keep you away from a church? Question Title * 7. Have you ever attended church? If so, when was the last time? Last week In the last month In the last year It's been more than a year Question Title * 8. Do you believe in God? Yes No Question Title * 9. In your opinion, what do local churches do? Question Title * 10. What are some ways a church could have a positive impact in your community? Meet the needs of those around us Be a location for community gathering Provide spriritual growth Assist families Other (please specify) Question Title * 11. What type of assistance do you, or would you seek from a church? Question Title * 12. What do you think of people who attend church? Positive Negative Neutral Question Title * 13. What are some positive things the church does in your community? Question Title * 14. Have you heard of St. Peter’s Lutheran Church? Yes No Question Title * 15. Are you aware that St. Peter’s has a school? Yes No Question Title * 16. How far do you live from St. Peter’s? Less than 1 mile 1‐5 Miles 6‐10 Miles More than 10 miles Question Title * 17. What is the most positive thing about this community? Question Title * 18. What do you feel is the greatest need of the community? Question Title * 19. What changes, either good or bad, have you seen take place in your neighborhood? Question Title * 20. How many neighbors do you talk to on a regular basis? 1‐2 2‐5 More than 5 None Question Title * 21. How long have you lived in this community? 0‐2 Years 3‐5 Years 6‐10 Years 11‐15 Years Over 15 Years Question Title * 22. What activities would you attend if they were offered in this community? Bible study Support group (divorce group, AA, etc.) Day care Senior's group Women's group / Men's group / Mother's group Teen group Common interest groups (motorcycling, book club, cooking, etc.) Other (please specify) Question Title * 23. What services do you feel are missing in the community? Question Title * 24. How do you find community services/programs? Newspaper Community web site Word of mouth Smartphone app (Google, AroundMe, Facebook, etc.) Government Center Flyer Other (please specify) Question Title * 25. What is the greatest need in your life right now? Time Friendship Assistance (someone to help) Spiritual growth Health/Fitness Financial Security Other (please specify) Question Title * 26. What are your top 3 interests / hobbies? 1 2 3 Question Title * 27. How could we be of help to you? Question Title * 28. If you could provide one thing for your family, that you aren’t currently, what would it be? Question Title * 29. What kind of things do you volunteer for? Assist at a church Assist at school Assist the elderly Animal care Community services (voluteer firefighter, police, clean‐up Community organization Other (please specify) Question Title * 30. Are you willing to be a volunteer? Yes No Not now, but would in the future Question Title * 31. Do you use a smartphone, tablet or iPad? Yes No Question Title * 32. How often do you use Social Media? Multiple times a day Once a day A few times a week Once a week A few times a month Once a month Never Question Title * 33. What is your age group? Under 21 21‐35 36‐45 46‐55 56‐65 66‐75 76‐85 Over 85 Question Title * 34. Which of the following categories best describes your marital status? Single Married Divorced Widowed 100% of survey complete. Done
