Feel free to gather the information first using this Church Data Form and then submit the information below. Please enable JavaScript in your browser to complete this form.Church Name *City and State *Your Name *FirstLastContact Email *1. What would you estimate has been the population trend during the past 3 years within one mile of your church? *1. Rapid Decline2. Slow Decline3. Static4. Slow Growth5. Rapid Growth6. Commercial Area2. What would you estimate has been the trend in income level during the past 3 years within one mile of your church? *1. Increased more rapidly than our larger community2. Increased the same as our larger community3. Increased but somewhat less than our larger community4. Some increase, but considerably less than our larger community5. Has remained about the same6. Has decreased7. Commercial Area3. 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). *12. Please enter the number of your average weekly worship attendance 1 year earlier. *13. Please enter the number of your average weekly worship attendance 2 years earlier. *14. Please enter the number of your average weekly worship attendance 3 years earlier. *15. How many persons were on the Church Assessment Roll you created before launching the assessment (the number of persons asked to take the survey)? *16. How many different households were represented by the persons on the Church Assessment Roll? For example, a husband and wife would be 2 people on the Church Assessment Roll but count as only 1 household. *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.). *19. Please enter the dollar amount of your total receipts 1 year earlier (same exclusions apply). *20. Please enter the dollar amount of your total receipts 2 years earlier (same exclusions apply). *EmailSubmit
