Church Data Form

Feel free to gather the information first using this Church Data Form and then submit the information below.

Church Name *

City *

State *

Your Name *

First

Last

Contact Email *

1. What would you estimate has been the population trend during the past 3 years within one mile of your church? *

2. What would you estimate has been the trend in income level during the past 3 years within one mile of your church? *

3. Please enter the numerical size of your church based on the most recent time to count membership. If you do not have a category for church membership, please provide the number of persons you consider to be actively involved and committed to your church's ministry. *

4. Please enter the numerical size of your church 1 year earlier (using the same criteria above). *

5. Please enter the numerical size of your church 2 years earlier (using the same criteria in Q3). *

6. Please enter the numerical size of your church 3 years earlier (using the same criteria in Q3). *

7. Please enter the number of new members received by your church in the past 12 months. If you do not have a membership category, leave blank.

8. Please enter the number of new members received by your church 1 year earlier. If you do not have a membership category please leave blank.

9. Please enter the number of new members received by your church 2 years earlier. If you do not have a membership category, leave blank.

10. Please enter the number of new members received by your church 3 years earlier. If you do not have a membership category, leave blank.

11. Please enter the number of your average weekly worship attendance over the past twelve months (include online worship attendance). *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

12. Please enter the number of your average weekly worship attendance 1 year earlier (include online worship attendance). *

13. Please enter the number of your average weekly worship attendance 2 years earlier (include online worship attendance). *

14. Please enter the number of your average weekly worship attendance 3 years earlier (include online worship attendance). *

15. Church Assessment Roll - How many people did your church invite to take the survey? *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

16. How many different households were represented by the persons on the Church Assessment Roll? For example, partners who live together would be 2 people on the Church Assessment Roll but count as only 1 household. This number helps us calculate part of your report. *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

17. How many different households contributed financially to the church in the most recent year (those for whom you have a record of their contribution)? *

18. Please enter the dollar amount of your total receipts in the last 12 months. Please INCLUDE income for capital campaigns, debt-reduction campaigns, and special mission offerings. Please DO NOT INCLUDE income from endowments, income from facility rentals, preschool tuition, etc. *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

19. Please enter the dollar amount of your total receipts 1 year earlier (same exclusions apply). *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

20. Please enter the dollar amount of your total receipts 2 years earlier (same exclusions apply). *

To ensure accuracy, please provide an estimated number. Please note that 0 is not a valid entry for this field.

Name