First Name
Last Name
Gender
Male
Female
I'd rather not say
Birthdate
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
How long have you attended VCC?
Less than 6 months
6-12 Months
1-2 years
2+ years
Are you interested in being part of a Church Life Group?
Yes
No
Need more info
How often would you like to meet as a Life Group?
Weekly
Bi-Weekly
Monthly
Occasionally
What type(s) of Life Group are you interested in attending? (Mark all that apply)
Scripture Study
Topical Study
Fellowship/Community
Prayer
Discipleship
Service/Outreach
Couples
Singles
Family
Womens Only
Men Only
Co-ed
Activity Based (example: hiking group)
Other
How do you want to participate in a Life Group? (Mark all that apply)
Leading Discussions
Attending and Listening
Praying for others
Sharing personal experiences or prayer requests
Serving the group (e.g., hospitality, organization)
Other
What are your interests and hobbies?
What are your goals for participating in a Life Group?
What are your ideal meeting times? (Mark all that apply)
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
For existing Life Groups: Do you feel the church leadership provides adequate support for life groups?
Yes
No
Sometimes
Im not sure
For existing Life Group- How has being in an existing life group impacted your faith journey?
Deepened my relationship with God
Strengthened my relationship with others in the church
Helped me better understand the Bible
Increased my desire to serve others
I haven't noticed a significant impact
For existing Life Group- How comfortable do you feel sharing personal struggles or prayer requests in your small group?
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
For existing Life Group- How long have you been part of your Life Group?
Any additional comments or suggestions?
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