Men's Ministry Survey
First Name
Last Name
Email
Phone Number
Date of Birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Wife's Name (if married)
Occupation
Where are you on your spiritual journey? (select one)
Questioning the “truth”, i.e., religion and God
Investigating truth and a relationship with God
New Christian
Christian, but feel that I’m not growing
Christian and growing in my relationship with God
Mature in faith and looking to serve
How would you describe your involvement at GCN?
New Attendee
Occasional Attendee
Regular Attendee
Highly Involved Attendee/Member
What would you say is your passion or major interest area?
What needs do you have that a GCN Men’s Ministry could help to fill?
Do you have any of the following skills that you could offer if needed? (Indicate all that apply)
Carpentry and/or Woodwork
Concrete & Masonry
Cooking
Auto Repair
Electrical
Financial Matters
Handy Man
Medical Services
Plumbing
HVAC
Painting
Computer Assistance (PC, Mac)
Proficient in Other Languages
If proficient in Other Languages, which?
What other services could you help with? (indicate all that apply)
Moving / Hauling
Yard Work
Cleaning
Driving
Other
If other, which?
Do you have talents that could be used on our Worship team? (indicate all that apply)
Music / Worship (Singer or Instrument)
Sound Board Tech
Graphics
Other
If other, which?
Would you be interested in attending a periodic men’s dinner at a local restaurant?
Regularly
Occasionally
Not At This Time
Would you prefer a monthly men’s breakfast?
Yes
No
1. Sports
Biking
Hiking
Camping
Golf
Tennis
Ping Pong
Pickleball
Volleyball
Fishing
Hunting
Soccer
Softball
Working out at the gym
Frisbee Golf
Flag or Touch Football
Other
If other, which?
2. Non-Sports
Attending Men's Conference
Mentoring Younger Men
Having Someone Mentor Me
Small Group - Bible Study
Work-Days at Church
Volunterring at an Elementary School or Stewartown
Other
If other, which?
3. Hobbies
4.What kind of men’s issues would you see as helpful to you as possible topics for a seminar or study in the future? (Indicate all that apply)
How to be a better husband
Financial matters
Improving your Christian walk
Men's health issues
How to be a better father
Sexual issues
Time management
How to be a Christian in the workplace
Discovering God's will for your life
Healing
Accountability
Discovering your spiritual gifts
Other
If other, which?
5.Would you be interested in participating in any of the following?
Men's Retreat (onsite and/or offsite)
Wood Working Group
Guys' Movie Night
Family Conferences & Camps
Father/Child Outing or Camp
Outdoor Adventure Fair
Sporting Event (O's Nats', Keys' Games, etc.)
Boys and their Toys
Fishing Outing
Men's Night Out Program
Hunting Trip
Sportsman Show
Super Bowl Party
Pistol or Rifle Range
Sweetheart Banquet
Special Kids Day for the Disabled
Boating/Water Ski Adventure
Snow Ski Adventures
6.Finally, what do you truly need these days to help you up? Why?
7.Are we missing anything?
8.Any Additional comments?
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