My Family Discipleship
First Name (Optional)
Last Name (Optional)
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Relationship to the kid(s)
Father
Mother
Grandfather
Grandmother
Legal Guardian
Not Applicable
Age(s) of my kid(s)
0-2yrs
3-5yrs
K-3rd
4th-6th
6th-12th
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 RELIANCE 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 my kid(s) about God and the Bible
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with teaching my kid(s) about life situations
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with communicating rules/boundaries with my kid(s)
Not at all
Slightly
Somewhat
Moderately
Extremely
I am comfortable with expressing my emotions and feelings with my kid(s)
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 kid's discipleship?
Not at all
Somewhat
Mostly
Completely
1. Choose the word that best describes what you think the church should be to your kid .
Informative
Caring
Social
Entertaining
2. Choose the word that best describes what you think the church should be to your kid.
Relevant
Communal
Inclusive
Mentoring
3. Choose the word that best describes what you think the church should be to your kid .
Engaging
Educational
Supportive
Relational
How well do you feel equipped by the church to disciple your kid(s)?
Not at all
Slightly
Somewhat
Moderately
Extremely
What is something you would like to see from the church in order to help in your kid's discipleship?
Household Habits
My family prays together...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
My family reads the Bible together...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
My family plays together...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
My family eats dinner together...
Never
1-2 Days a Week
3-4 Days a Week
5-7 Days a Week
My family attends Sunday service together...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
My family attends community group...
Less than Once a Month
1-2 Times a Month
3-4 Times a Month
My family dedicates a day to resting together...
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? (if applicable)
Never
Rarely
Sometimes
Often
Always
All About You
What are your strengths as a parent?
What are your weaknesses as a parent?
What are some key questions you have about parenting your kids in a biblical way?
Any other comments:
Thank You for Your Participation!
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