Jarvis Memorial 2021 Heart Count
A healthy family is always seeking to know each other better. To be the best church family we can be, the Jarvis Memorial staff desires to connect with all of our members and visitors, young and old, near and far. This "Heart Count" will help us correct and update information about you and your family as we move forward together.
Thank you for answering all of the questions below! This information will only be used for church purposes. Any information you prefer NOT to give, just mark with "xxxx". Thanks!
* Required
Your Name
*
Your answer
Your Birthdate
*
MM
/
DD
/
YYYY
Your Mailing Address (Including City, State and Zip)
*
Your answer
Your Cell Phone
*
Your answer
Your Email
*
Your answer
Your Family Members That Attend Jarvis With You (Please list each one with Birthdates, Cell Numbers & Emails)
*
Your answer
Worship Preference (AFTER major COVID-19 concern is gone)
*
Only Traditional Service
Only Contemporary Service
Like Both Types of Services
Other:
Attendance Preference (AFTER major COVID-19 concern is gone)
*
Online most of the time
In-Person most of the time
Mix of Online/In-Person
Other:
I/We Attend Church
*
3+ Times per month usually
1-2 Times per month
6-10 Times per year
1-5 Times per year
Rarely
Number of Years of Membership at Jarvis
*
0-5 Years
6-10 Years
11-15 Years
16-20 Years
More Than 20 Years
Not Yet A Member, But Would Like To Be
Other:
My Occupation (or former occupation, if retired)
*
Your answer
My Hobbies/Special Interests (for example: gardening, carpentry, cooking, photography, music, etc.)
*
Your answer
My Spiritual Gifts:
*
Prayer
Hospitality/Service
Teaching
Evangelism
Congregational Care/Shepherding Ministry
Administration/Leadership
Stewardship/Maximizing Resources
Technological Ministries
Music/Singing
Other:
Required
One Thing That Jarvis Does Best Is
*
Your answer
One Thing I Wish Jarvis Would Start or Do Better
*
Your answer
Submit
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms