Assessment: Diagnostic Questions
ATTORNEY/CLIENT PRIVILEGE ASSERTED
Listed below are diagnostic questions assisting us in determining the scope of an assessment of current child protection protocols in place at your church, ministry or child-serving organization. A Proposal will be sent to you within 10 days of completion of this form.
This form may be edited after it is submitted.
Please contact Megan Van if you have questions concerning the information sought below.
 
Megan@LoveNorris.com; 817-737-7233 x 808.
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Name of ministry/organization *
If a church, what denomination or affiliation, if any? *
Your name *
Your position *
Email Address *
Phone Number *
Ministry address *
If the ministry has multiple campuses, please provide the name and address of each campus.
Does the ministry have lay leaders serving on its leadership team? *
How many full or part-time employees work at the church/ministry? *
How many full or part-time employees provide services to minors? *
How many volunteers serve in roles providing services to minors? *
What is the average weekly attendance at the church or ministry? If the ministry has multiple campuses, select the attendance at the main campus. *
What is the average weekly attendance at the church or ministry? If the ministry has multiple campuses, select the attendance at the main campus. *
What is the church or ministry's membership? *
Please select all of the following services provided to children and youth and approximate numbers of children or youth participating.
1 - 50
50 - 100
100 - 200
200 - 500
500 - 1000
1000+
Day camp (onsite)
Day camp (offsite)
Overnight activities/retreats/camps (onsite)
Overnight activities/retreats/camps (offsite)
VBS
Mission Trips
Children's Ministry
Youth Ministry
Music Ministry
Mentoring program
Youth sports program
Clear selection
Does the ministry allow third party use of facilities? *
If yes, please describe the nature of the third party use.
Does the ministry offer a school program? *
Next
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