BASES Family Life Questionnaire

BASES Family Life Questionnaire

BASES Family Ministry is striving to build a program for families in accordance with the needs and interests of our families and community. Please take a few minutes to respond to the following items. Your response is important to us!
Tell us about your family and household: *

Single: Live Alone Single: Children in Home Couple: No Children Two parents: Children in Home Two parents: Adult Child in Home Stepfamily: Children in Home Grandparent raising grandchildren Other
Other (Family and Household): *
Tell us about your interests and concerns: Which of the following would you be interested in attending if offered as workshops, seminars, or small groups. *

Faith Growing in Marriage Family Worship Family Communication Skills Caring for Aging Parents Skills for Parenting Stepparent Skills Blended Families Engaged Enrichment and Training Marriage Enrichment Married Again Married but Separated by Distance (Armed Forces, School, Prison) Divorce Recovery for Children Divorce Recovery for Youth Divorce Recovery for Adults Financial Planning Family Survival after The Loss of a Family Member Sexuality: Talking with Children Sexuality: Issues for Adults Twelve Step Program Drug or Alcohol Abuse Respite from Care for Loved One
Tell us what will work best for you in meetingthese needs: *

Small Groups for Couples Small Groups for Singles Short-Term Study Groups on Wednesdays Study Group on an evening other than Wednesday Study Group during the day Marriage Group Topics covered as part of Bible Class
What kinds of congregational activities would beimportant to you and your family? List your suggestions here: *
Tell us where you have skills in leading in any of the topics identified: *
Are you interested in leading a group on this topic? *
Tell us other interests and concerns you have not mentioned above that you would like to see the church offer to families: *

How family-friendly would you say our congregation is? *

	Poor	Average	Good	Excellent
Family Friendliness

What could we do to improve? *
Name:

First Name Last Name
Email: *
example@example.com
Should be Empty:

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