Small Group Survey:
Use the Form below to submit answers to all questions.....
Click Here!
If you would like to down load a word Document form that you can save and email at a later time.
Help us, help YOU!
So we may start our small group search off right, would you please
complete this form as complete as possible, so we may serve you best,
Thank You!
NAME : First Last
*
Preferred Name (for publications & mailings)
Check all that apply:
Male
Female
Single
Engaged
Maried
Separated
Widowed
Birthday
Anniversary
Address: City : State
*
Phone: Home, Work, Cell
*
E-mail
*
Does Spouse attend Church?
Yes
No
Ministries currently serving in ?
Occupation
Hobbies and/or Talents
How did you hear about Bear Creek Church?
Friend
Family
Drove By
Newspaper
Phonebook
Webpage
Postcard
Location
Other
Date 1st Attended Bear Creek Church:
Spouse Information:
NAME: (spouse) First Last
Preferred Name (for publications & mailings)
Gender (sex)
Male
Female
N/A
Birthday (spouse)
Phone: Home, Work, Cell
Occupation and e-mail
Hobbies, Talents, and Ministries Currently Serving In:.
Your Small Group Preferences!
How many miles are you willing to drive to your group?
5
10
20
Any
Which Groups would you like to Search in?
New Groups Only(created in last 60 days)
Old Groups Only(older than 60 days)
ALL existing Groups
Optional Group Preferences!
Answering these optional questions will narrow down the number of groups offered. If you are not sure, or have no preference, then please leave the choice(s) unchecked.
What subject would you like to study?
Book- One Month To Live.
Book- The Calvary Road
Book- The Pursuit of Happiness
Book- Purpose Driven Life
Marriage
Marriage Reconciliation
Blended Families
Parenting
Single Parenting
Prayer
Prayer- Women's Prayer
Prayer- Men's Prayer
Bible- Old Testament
Bible- New Testament
Bible- New Christian Believer
In your group would you prefer....
Men Only
Women Only
Both men and women
No preference(any)
Preference of status if any.....
Singles Only
Married Only
Both single and married
No preference (any)
Which day would you prefer to meet? (Select all that are ok.)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Age Group Preference: ( Select any/all that apply.)
College Age
20's
30's
40's
50's
60's
Mixed Ages
When it comes to group member's children, what is your preference?
Mixed
NO Children
Infants
Toddlers
Elementary
College
Empty Nesters
Jr.high-HighSchool
What language would you want spoken in your group?
Comments, Suggestions, Ideas on how we can better serve you:
Questions, Concerns you have that we can help you with or pray for:
Type the word / letters exactly in order to submit.
*
Submit Form
Clear Form
Contact Us:
pastorgeorge@bearcreekchurch.com
(209) 951-9229
PHONE 209-369-2202 • FAX 209-369-4202 • 11171 N. Lower Sacramento Rd., Lodi, CA USA 95242 •
BearCreek@bearcreekchurch.com
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