My Family Discipleship
First Name (Optional)
Last Name (Optional)
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Topics I want to learn more about.
Spiritual Family History
Growing up, my family PRAYED TOGETHER...
Never
Rarely
Sometimes
Often
Always
Growing up, my family READ THE BIBLE TOGETHER...
Never
Rarely
Sometimes
Often
Always
Growing up, my family was in COMMUNITY WITH OTHER BELIEVERS...
Never
Rarely
Sometimes
Often
Always
Growing up, my family ATTENDED A WEEKEND SERVICE TOGETHER...
Never
Rarely
Sometimes
Often
Always
Growing up, my family SERVED OTHERS TOGETHER...
Never
Rarely
Sometimes
Often
Always
Growing up, my family APPROACHED THE WORLD WITH A BIBLICAL VIEW ...
Never
Rarely
Sometimes
Often
Always
Growing up, my family SHOWED A RELIEANCE ON THE HOLY SPIRIT...
Never
Rarely
Sometimes
Often
Always
Was there something that you felt the church neglected while you were growing up? Explain.
Any additional information you would like to share about you and your families spiritual history.
You and Your Household
I am comfortable with teaching others about God and the Bible
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with teaching others about life situations
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with communicating ground rules/boundaries others
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with expressing my emotions and feelings with others
Not at all
Slightly
Somewhat
Moderately
Extremely
What is a challenge you are currently facing in the household?
What is a joy you are currently experiencing in the household?
The Church and Your Household
How much should the church be responsible for your discipleship?
Not at all
Somewhat
Mostly
Completely
1. Choose the word that best describes what you think the church should be.
Informative
Caring
Social
Entertaining
2. Choose the word that best describes what you think the church should be.
Relevant
Communal
Inclusive
Mentoring
3. Choose the word that best describes what you think the church should be.
Engaging
Educational
Supportive
Relational
How well do you feel equipped by the church to disciple others?
Not at all
Slightly
Somewhat
Moderately
Extremely
What is something you would like to see from the church in order to help you in discipling others?
Household Habits
I spend intentional time in prayer...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
I read the Bible...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
I spend time doing physical activity...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
I spend time having fun with friends/family...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
I attend Sunday service...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
I attend community group...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
I dedicate a day to resting...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
How often do these things include both you and your spouse?
Never
Rarely
Sometimes
Often
Always
Not Applicable
All About You
What are some of your strengths?
What are some of your weaknesses?
What are some key questions you have about living in a biblical way?
Any other comments:
Thank You for Your Participation!
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