Church Assessment Survey
Age
Gender
How long have you been a member of the church?
Not a member
Less than 1 year
1 to 5 years
6 to 10 years
more than 10 years
During the previous month, how often have you attended the church?
Not attended
1 time
2 times
3 times
4 times
More than 4 times
Overall, how satisfied are you with the church?
1
2
3
4
5
6
7
8
9
10
Please indicate how satisfied you are with the following church activities.
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Adult Ministries
1
2
3
4
Evening Services
5
6
7
8
Small group studies
9
10
11
12
Fellowship Activities
13
14
15
16
Church School
17
18
19
20
Small Group Studies
21
22
23
24
Vacation Bible School
25
26
27
28
 How likely are you to recommend the church?
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
Additional Comments
Submit
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