Sanctity of Life Survey
This survey is intended to discover opportunities for the local church to meet needs for women in the community served by local pregnancy resource centers (PRC).
SF JSON
Church Name
Church Name
*
Date
-
Month
-
Day
Year
Date
Primary Contact Name
*
First Name
Last Name
Primary Contact Email
*
Primary Contact Phone Number
*
Format: (000) 000-0000.
Preferred Contact Method
*
Phone
Email
Other
Does your church have a screening process or requirements to qualify clients for support (e.g., application form, interview, etc.)?
*
Yes
No
What are those requirements? Does the PRC need to administer the requirements or connect them to someone specific in your church to start the process?
Available Resources
The following questions are related to practical support offered to PRC clients from within your church. Needs may vary depending on services offered by your local center and other organizations in your community. These offerings can be one-time, yearly or ongoing support.
My church can supply the following large items (check all that apply):
Cribs
Car seats
Breast pumps
Strollers
Household furniture
Pack-n-Play or bassinet
Other
My church can supply the following smaller items (check all that apply):
Diapers
Wipes
Diaper bags
Bibles/Storybook bibles
Other
My church can provide the following financial support, not directly to client but vendors (check all that apply):
Utilities bills (phone, water, electric)
Rent (partial or full)
Groceries
Gas
Back-to-school items
Large appliances
Other
My church can provide the following services (check all that apply):
Small home repairs
Car repairs
Moving (helping clients relocate)
Delivering large items (furniture from other ministries)
Other
My congregation includes at least one person who can volunteer in the following areas (check all that apply):
Photography (for client and family)
Graphic design
Web development
Medical director (life-affirming MD required, OB/GYN preferred)
RDMS (Sonographer)
RN for pregnancy tests
Data entry
Other
My church can provide the following services for free or reduced cost (check all that apply):
Childcare/Preschool
Support closet for clothing
Food bank
Financial coaching (Financial Peace, Crown Financial, etc.)
Parenting class
Sports programs (Upward Sports)
Weekly meals
Language program
Job training
Academic tutoring
Other
My church has the following mom-specific programs open to clients for free or reduced cost (check all that apply):
Bible Study Fellowship
Moms bible study
Mom playdate group
Mom and Me Story or Music Time
MOPS program
Single Mom Bible study
Expecting parents group
Dad focused group
Other
Affordable housing is one of the largest needs for college-age mothers and mothers with additional children. Would individuals in your congregation be willing to do any of the following? (check all that apply)
House an expecting college student
House a mother and infant
House an expecting mother
Offer subsidized or low-income rental property
Other
If a PRC has a wishlist for material items, how should they communicate those needs to you? How frequently?
If a PRC has an upcoming fundraising event to cover their free services, how should they communicate that to you to share with church members? Who should they contact?
If a PRC has a specific volunteer need, how should they communicate that to you? Who should they contact?
Oftentimes, it is helpful to have a church liaison or team of liaisons (care team). Would this be something you would like to explore further?
Yes
No
My church can make its facilities available to host the following (check all that apply):
Classes
Fundraising events
Community pastoral event
Volunteer appreciation and training
Staff appreciation event
Staff and board meetings
Sponsor and host annual fundraising event
Community awareness event
Community church pro-life event
Storage of large items like car seats and cribs
Other
Would your church be open to providing food for client and/or volunteer events?
Yes
No
By clicking the box below, I give permission to the Baptist State Convention of North Carolina to share this information with pregnancy resource centers or related life-affirming ministry partners.
*
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