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Fellowship Survey for the Group
This form can be filled out at a group business meeting, by your GSR, or by an individual member who can carry the voice of your group to our Fellowship Development team and the Contra Costa ASC
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Group Name
Your answer
Is there a member of the group willing to provide their contact information in order for us to follow up and provide further support if needed? If so please provide this information below
Your answer
How is the health of your group coming out of the pandemic?
Needs support
1
2
3
4
5
Doing great!
Clear selection
Does your group plan to keep an online presence or do you plan to only meet in person?
Online
In-person
Hybrid
Clear selection
Has your group discussed the pros and cons of having an online presence?
Your answer
Do you plan to support hybrid meetings?
Yes
No
Clear selection
Does your group need support for your online/hybrid meeting?
Other supporting functions
Technical guidance, including moderator assistance
Revised Group Guidelines
Zoom meeting identification
Financial Assistance
Other supporting functions
Technical guidance, including moderator assistance
Revised Group Guidelines
Zoom meeting identification
Financial Assistance
Will hybrid-meetings be temporary or long term for your group?
Temporary
Long-term
Not moving forward with an online presence
Unknown
Clear selection
Do a majority of your members attend in person or online?
In-person
Online
Other:
Clear selection
What are the challenges of your group supporting hybrid or online meetings?
Your answer
Does your group need any of the following in support for your meeting?
Masks / hand sanitizer / cleaning supplies - or other health and safety related materials?
Literature or pamphlets
GSR training or support
Group presentations (how to build stronger home groups, enlisting new trusted servants, group sponsored activities etc.)
Other:
Does your group have trusted servants who are capable of maintaining a hybrid meeting long term?
Yes
No
Clear selection
Does your group feel connected to your area?
Yes
No
Clear selection
Is the group receiving the information it needs from Area, Region and World Services in order to operate effectively in carrying the NA message of recovery?
Yes
No
Clear selection
Have members stopped attending due to accessibility (gas prices, mobility, health concerns or other?)
Yes
No
Not sure
Other:
Clear selection
Have members started attending due to accessibility?
Yes
No
Not sure
Other:
Clear selection
How is the spirit of rotation of trusted servants?
We always have new trusted servants
We have one or two new trusted servants
We rotate the same trusted servants
Clear selection
Is the group fully self-supporting through member contributions?
Yes
No
Clear selection
Do you have any additional comments or suggestions to add?
Your answer
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