PRODIGAL QUESTIONNAIRE
Date
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
E-mail
*
example@example.com
Name and age of prodigal
Do you have any adopted children?
YES
NO
Is yours a blended family (children from each side)?
YES
NO
Was your prodigal raised in the church?
YES
NO
If your prodigal was raised in the church did he/she make a profession of faith?
YES
NO
N/A
What best describes your prodigal's behavior (select all that apply)?
Addicted to drugs (including marijuana)
Addicted to alcohol
Addicted to porn
Addicted to video games
Rebellion
Lying
Other (please list after selecting)
Who in the immediate family are enablers (check all that apply)?
Father
Mother
Brother
Sister
Other (please state name and relationship)
Are there enablers outside the immediate family?
YES
NO
If YES, what is their name and relationship?
List any other family members or individuals who are impacting your current situation (Please identify if they are a positive or negative influence and how they are impacting your situation).
Identify what the chaos in your life looks like (i.e. - financial, relational, fear of harm, other).
What are the greatest obstacles and fears in controlling the chaos in your family?
Obstacles:
Fears:
What has caused previous plans to fail?
Can you identify the event(s) that were your "tipping point" for seeking out The Prodigal Ministry?
During the Prodigal curriculum, we will spend some time considering where you look to find purpose and meaning in life. As a starting point for that conversation, please jot down a few ideas now for what you are currently thinking as to your life’s purpose. Please don’t worry about making your statement perfect, as we will revise it over time. Just describe what comes to mind when asked about your purpose.
Submit
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