Church Member Survey
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1
2Church Member Survey
1. Gender:
7. Type of housing:
o Male
o Single family house
o Female
o Duplex
o Apartment/condo/townhouse
2. Race or ethnicity:
o Mobile home/trailer
o Anglo/White
o Asian
8. How long have you lived at your
o Black/African American
current address?
o Hispanic
o Less than 1 year
o Other
o 1-4 years
o 5-14 years
o 15 or more years
3. Age group:
o Under 18
o 44-54
o 18-24
o 55-64
9. On average, how long does it take
o 25-34
o 65+
you to travel from your home to this
o 35-44
church?
o Less than 10 minutes
o 10-20 minutes
4. Current marital status:
o Never married
o 21-30 minutes
o Married
o More than 30 minutes
o Widowed
o Divorced/separated
10. Number of persons currently
living in your home (include
5. Highest educational status you
yourself):
have achieved (for ages 25 and up):
o 1
o 4
o 2
o 5+
o Grade 0-8
o 3
o Some high school, grade 9-11
o High school graduate
o Some college, 1-3 years
11. Indicate the range of your total
o Associate degree
annual family income:
o Bachelor’s degree
o Less than $15,000
o Post-graduate studies/degree
o $15,000-$29,999
o $30,000-$49,999
6. Residence:
o $50,000-$74,999
o Own (or buying)
o $75,000-$99,999
o Rent (or leasing)
o $100,000 or more
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Related Categories
Parent category: Life