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Ministry to Men Questionnaire
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Step
1
of 6
Name
*
First
Last
Email
*
Phone
Date of Birth
Next
Family
Marital Status
Married
Single
(select Are Harvest
Spouse's Name
Do you have any children?
Yes
No
Children's Ages
Next
Journey
Where are you on your spiritual journey? (select one)
Questioning the “truth”, i.e., religion and God
Investigating truth and a relationship with God
New Christian
Christian, but feel that I’m not growing
Christian and growing in my relationship with God
Mature in faith and looking to serve
How would you describe your involvement at Harvest? (select one)
New Attendee
Occasional Attendee
Regular Attendee
Highly Involved Attendee/Member
What would you say is your spiritual passion or major interest area?
What needs do you have that Harvest Ministry to Men could help to fill?
Next
Interests
Would you be interested in a monthly men’s breakfast in place of a men's dinner?
Yes
No
What interests do you have? (indicate all that apply)
Sports
Biking
Hiking
Camping
Golf
Tennis
Ping Pong
Pickleball
Volleyball
Fishing
Hunting
Soccer
Softball
Working out/Exercise
Frisbee Golf
Flag or Touch Football
Geocaching
Kayaking/Canoeing
Horseback Riding
Mineralogy/Rock Hound
Other
If other, what?
Non-Sports:
Attending Men’s Conference
Mentoring Younger Men
Having Someone Mentor Me
Small Group – Bible Study
Work-Days at Church
Volunteering at an Outreach
Other
If other, what?
Hobbies?
Next
Interests continued
What kind of men’s issues would you see as helpful to you as possible topics for a seminar or study in the future? (Indicate all that apply)
How to be a better husband
Financial matters
Improving your Christian walk
Men’s health issues
How to be a better father
Sexual issues
Time management
How to be a Christian in the workplace
Discovering God’s will for your life
Healing
Accountability
Discovering your spiritual gifts
How to Pray
Other
If other, what?
Would you be interested in participating in any of the following? (Indicate all that apply)
Men’s Retreat (onsite and/or offsite)
Wood Working Group
Guys’ Movie Night
Family Conferences & Camps
Father/Child Outing or Camp
Outdoor Adventure Fair
Sporting Event
Boys and their Toys
Fishing Outing
Men’s Night Out Program
Hunting Trip
Sportsman Show
Super Bowl Party
Pistol or Rifle Range
Sweetheart Banquet
Kids Day
Boating/Water Ski Adventure
Snow Ski Adventures
Next
How can we help?
Finally, what do you truly need these days to help you spiritually? Why?
Are we missing anything?
Any Additional comments?
Volunteer
I’d like to volunteer for the Ministry to Men
Please contact me about the following areas
Leadership
Men’s Small Group Leadership
Table Leaders(During Events)
Event Cooking/Kitchen Help
Event Setup
Submit
