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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
How many people are in your care group?
 
One
 
Two
 
Three
 
Four
 
Five
 
Six
 
Seven
 
More than Seven
 
Non assigned
 
Other
 

 
 
 
* How did you make contact with the members of your cell group? (Select all that apply)
 
Phone
 
Church Service
 
Bible Study
 
Home Visit
 
Text Message
 
Email
 
Postal Mail
 
Agency Visit
 
Other
 

 
 
 
How frequently do you make contact with the people in your care group?
 
Every day
 
Every Week
 
Every 2 - 3 weeks
 
Every Month
 
 
 
How many of your care group members did you make two way contact with during this reporting period? (That is, you received a response from your cell group member?
 
All
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
Other
 
 
 
 
Please provide any updated information for your cell group member such as, name, address, telephone number, tec.
   
 
 
 
How likely would you be able to disciple others for this ministry?
 
Very likely
 
Somewhat likely
 
Neutral
 
Somewhat unlikely
 
Very unlikely
 
Other
 
 
 
 
Which of the following categories best describes your ministry designation?
 
Disciple
 
Deacon
 
Deaconess
 
Licensed Minister
 
Reverend (ordained)
 
Apostle
 
Prophet
 
Evangelist
 
Pastor
 
Teacher
 
Administrator
 
Elder
 
Other
 

 
 
 
What tangible results have you seen from the service that you render?
 
Church Attendance
 
Bible Study Attendance
 
Fellowship Attendance
 
Reconciliation
 
Ministry Participation (for example, ushering, intercessory prayer, security, dance ministry, etc)
 
Mutual Caring (for example, cell group members reaches out to others)
 
Other
 

 
 
 
What concerns or needs did your cell group member express (Select all that apply)?
 
Illness
 
Prayer
 
Financial
 
Employment
 
Counseling
 
Visitation
 
Ministerial Call
 
Benevolence Services
 
Wounded Spirit
 
Grief Management
 
Transportation
 
Other