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This short survey is completely confidential and all the
fields in this form are optional. You are not required to answer
any of them -- but leaving them blank won't help us tailor this
ministry to your needs. We appreciate your honesty and sharing your time. |
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I. Background Info |
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1. Age:
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2. Marital Status: Single
Married
Divorced/Widowed
Blended Family
Non-Blended Family
Kids?
How many kids still
at home? |
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3. Current Church involvement:
New Attendee
Regular Attendee
Involved Attendee/Member
Pew Potato |
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4. Passions and or Hobbies:
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5. What are your spiritual gifts? |
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Serving |
Teaching |
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Hospitality |
Mercy |
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Evangelism |
Exhortation |
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Pastor |
Giving |
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Wisdom |
Knowledge |
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Discernment |
Leadership |
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Administration |
Intercessory Prayer |
| Other
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Don't Know |
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II.
Real Life |
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1. How many close male friends do you have
('close' meaning you would expose your true self and share your most
personal information)? |
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One |
Two |
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Three or
more |
None |
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2. How often do you meet with another male
friend and talk on a deeper level? |
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Once a week |
Several times per month |
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Once a month |
Rarely |
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Never |
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3. Which
two of these issues are most important
to you? |
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Balancing work, home, and ministry |
Parenting Skills |
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Finding a job |
Relationship to wife |
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Job
Security |
Reaching other men |
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Male
roles and identity |
Spiritual life |
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4. How can we best help you integrate your
Christian Faith into your job? |
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Monthly
meeting with speaker |
Weekly small
group meeting to discuss the issues |
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Monthly
small group meeting to discuss the issues |
3-5 week
seminar on ethics, work, relationships, etc |
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5. What issues are you
struggling with day-to-day?
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6.
What keeps getting between you and God?
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III. Men's Ministry |
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1. Would you be willing to
participate in NorthMen?
Yes
No |
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2. When would be the best time for you to
attend a monthly men's meeting? |
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Saturday
morning |
Weeknight Which night?
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Sunday
morning |
Sunday
evening |
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3. What ministry/fellowship categories would you be interested in? |
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Task
Group (Car care, building, etc.) |
Investigative Bible Study |
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Basketball |
Study
Group |
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Softball |
Support Group |
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Flag
Football |
Accountability Group |
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Bowling |
Other
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4. When would be the best time for you to
meet with a smaller group of men? |
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Saturday
morning |
Weeknight Which night?
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Sunday
morning |
Sunday
evening |
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5. Would you be willing to serve
in NorthMen?
Yes
No |
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6. What are your areas of potential interest? |
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Publicity /
Marketing |
Organize
events |
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Work in the
kitchen |
Lead small
group |
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Do
telephoning |
Work with
work projects |
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Marketplace
ministries |
Prayer Team |
| Other
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7. What would you like to accomplish
personally via your involvement in Men's Ministry? |
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A closer walk
with God |
Fellowship
with Christian Men |
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A
confidential outlet to vent problems or frustrations |
More
involvement in the church |
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A chance to
meet other men |
Other
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IV. Men in the World |
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1. Would a short term Mission trip interest
you?
Yes
No |
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2. What type of short term Mission trip would
interest you the most? |
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Construction
Project |
Athletic
trip (i.e. basketball in Nicaragua) |
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Medical trip |
Business
trip (i.e. giving seminars) |
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3. What would be a good length to stay for
such a trip? |
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Weekend |
One week |
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Two weeks |
Three weeks |
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One month or
more |
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V. Retreats |
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1. If we began to have retreats as part of our ministry,
would you be interested?
Yes
No |
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2. What type of retreat would interest you
most? |
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Teaching
type |
Adventurous
type (Canoeing, fishing, camping, etc) |
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Spiritual
and personal renewal |
Networking
with other men |
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3. Length of retreat? |
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One
night
Two
nights Other
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4. How Far would you travel for a retreat? |
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30 minutes |
One hour |
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Two hours |
Three hours |
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More than 3
hours |
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5. Please list any additional comments you may have about the
NorthMen Group in the space below.
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