Thriving Synagogue Learning Tool Synagogue Information Form
This Synagogue Information Form customizes the Learning Tool survey for your congregation. All questions in the Synagogue Information Form are required.

After you have filled in the requested information, double check your answers to be certain they are correct. Once you hit the “submit” button, you will no longer have access to the Setup Form.

Full Name of Your Synagogue *
Your answer
Synagogue location (city or town) *
Your answer
Synagogue zip code *
Your answer
Abbreviated or short form of the synagogue name that members will easily recognize *
Your answer
How many INDIVIDUAL ADULTS does your congregation have? (This is the number of individual adult members, NOT the number of households. If you do not know the exact number, provide best estimate) *
This number will be used to estimate your survey response rate. For example, if you have 300 households, you likely have between 500 to 625 individual adult members, with many households including two adults.
Your answer
Does your synagogue: *
Not Sure
Ask members for annual payments such as dues?
Have at least three paid staff (either full- or part-time) who interact with members of the congregation? This may include executive director, teachers, custodial staff, or others who work for pay in the synagogue?
Have a top professional, such as an executive director, who reports directly to the board?
Have clergy?
If your synagogue asks members for annual payments, what do you call these payments (e.g., dues, voluntary contribution)? *
Your answer
Does your congregation have a building or other space(s) in which you meet regularly? *
The survey includes questions about the physical space that your congregation uses. These questions will appear in your congregation survey only if you indicate that you have a building or other such space.
Your answer
Do you want your survey to include demographic questions that ask if the respondent and respondent's spouse or partner are Jewish? *
If synagogue members have questions about the survey, who should be their primary contact at the synagogue?
The name and contact information specified here will appear on the introductory page of the survey.
Name of survey contact *
Your answer
Email for survey contact *
Your answer
Phone number for survey contact *
Your answer
If UJA or the Learning Tool researchers need to reach the survey leadership team, who is the primary contact?
Name *
Your answer
Title or role in synagogue *
Your answer
Email address *
Your answer
Phone number *
Your answer
The information in this form will be used to create and process the survey. Please review your answers before submitting. Once you hit submit below, you will no longer have access to this form.
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