Name *

First Name

Last Name

I am interested in attending a small group (at someone else’s home) *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I am interested in hosting a small group in my own home. *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I am interested in leading and teaching a small group (in my home or at another location). *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I am interested in hospitality (providing drinks and snacks) at a small group (in my house or at another location). *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

I am interested in helping with childcare at a small group (in my home or at another location). *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

The best day for me to attend a small group is: *

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

The best time for me to attend a small group is: *

Early Morning

Mid-day

5-6PM

6-7PM

7-8PM

8-9PM

List the main reason(s) you would attend a small group (select all that apply). *

Deeper or more interactive Bible study

Time to discuss Sunday’s sermon

Networking and relationship building

Fellowship with like-minded believers

More intimate prayer and ministry time

Open-ended time frame (no specific start or end time)

Other

List the main barrier(s) that keep you from attending a small group (select all that apply) *

Hosting (providing your home as a meeting place) is too stressful.

Teaching or Leading a small group is too stressful.

Providing snacks and drinks is too stressful or too expensive.

Too much fellowship and not enough Bible study and teaching.

Not enough fellowship time.

Not held at a convenient time for me or my children.

Not held at a convenient location.

Do not want to commit to a specific start or end date.

No child care.

Too many kids making too much noise.

Other

What are your main objectives and goals when attending a small group (select all that apply) *

Developing and moving in my gift of leadership.

Developing and moving in my gift of hospitality.

Developing and moving in my gift of teaching.

Gaining a deeper understanding of scripture.

Growing a more mature walk with God.

Establishing and nurturing strong personal friendships and relationships.

Providing opportunities for my children to establish friendships with other children.

Having a place to have fun and socialize.

Other