Name
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First Name
Last Name
I am
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Male
Female
Email
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When our local government lifts its ban or guidance against churches meeting, which best describes your attitude toward returning to a worship service at church? Select one:
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I will return the first opportunity we have.
I will return at first opportunity but with some concerns and precautions.
I will wait several additional weeks before I attend.
It may be quite a while before I return.
Not sure
In addition to our local government lifting its ban or guidance against public gatherings, are there other signals you would want to see before you return to attend a worship service at church? Select all that apply
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What precautions, if any, do you plan to take when you return to a worship service? Select all that apply
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What precautions, if any, do you expect our church to take for worship gatherings? Select all that apply
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Do you have children age 18 or younger who live with you and typically attend church with you?
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Yes
No
If Q6=Yes - Would you allow your child(ren) to attend their small group where it typically meets?
Yes
Not the right way
My children do not typically attend a bible study
If Q6=Yes-What precautions, if any, do you expect the church to take in children’s and student small groups when they resume? Select all that apply
Which of the following describes the attendance level at which you would be comfortable attending a worship service?-I would be comfortable attending if the sanctuary is…
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Filled to capacity (every seat taken)
Three-quarters filled (some empty seats throughout but no empty rows)
Half filled (most people have empty seats either beside them or in front of them)
One quarter filled (most people have empty seats beside them and in front of them)
None of these (at least right away)
When our local government lifts its ban or guidance against public gatherings, which of the following would you prefer for our church?
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Resume in person worship services at our church immediately
Meet in small groups in homes for a few more weeks before resuming in person worship services
Not sure
Would you be willing to attend a worship service at a different time than you typically attend to allow people to be more spread out in the sanctuary?
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Yes
No
Not sure
Would you be willing to attend a worship service in an overflow room to ensure people (in the sanctuary and overflow rooms) are spread out?
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Yes
No
Not sure
How long have you been attending?
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How long have you been attending?
Less than 2 years
2-4 years
2-4 years
10+ years
I don’t remember
What is your age?
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Less than 18
18-29
30-49
50-69
70+
I prefer not to answer
