How Can We Help You Survey

The purpose of this survey is to assess the needs of the community surrounding our church, Southern Heights Baptist Church, on Clays Mill Road. WE DO NOT WANT ANY PERSONAL INFORMATION. We want to serve the community, and would like the opportunity to ask a few questions to help us understand what types of activities and events that would most interest you and your family.

Please fill out the survey below.

If you have any questions, please contact Pastor Bill Boldt.

Thank you!

What are the demographics of you/your family?

I am:

20-30 years old.

30-40 years old.

40-50 years old.

50-60 years old.

60-70 years old.

70-80 years old.

80+ years old.

Clear selection

I have:

No children at home.

One child/grandchild at home.

Two children/grandchildren at home.

More than two children/grandchildren at home.

Clear selection

I am:

Single.

Married.

Divorced.

Widowed.

Clear selection

My children/grandchildren are:

Choose all that apply.

Birth - 2 years old.

3-5 years old.

5-10 years old.

10-15 years old.

15-20 years old.

20+ years old.

N/A

What are your/your family's interests?

My/my family's interests are:

Choose all that apply.

Sports

Academics

Outdoor activities

Other:

I/My Family would be interested in participating in the following activities:

Choose all that apply.

Activities for kids (Musicals, Easter egg hunts, Trunk or Treat, etc.)

Music lessons

Opportunities to play sports

Computer/Technology classes (Computer, iPad, iPhone, etc.)

Cooking classes

Exercise classes

English language classes

Sewing classes

Tutoring services (Homework K-12th grade)

Food and clothing services

Christian counseling

Home repair services

Christianity 101 classes

Art lessons

Course on starting a small business

Parenting classes

Recovery classes (Drug, alcohol, etc.)

Money management classes

Single parent classes

Divorce recovery classes

Other:

Additional questions:

Transportation to and from activities and events would be beneficial.

Yes

Do you regularly attend church?

Yes

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