CPC Community Groups Survey - Household
Household Last Name
Spouse/Children and Ages:
Primary Household Member's Age Range:
20 - 29
30 - 39
40 - 49
50 - 59
Which geographical area do you live?
Olive Branch - Central
Olive Branch - East
Olive Branch - West
Have you been a member of a Community Group at CPC or another church?
If yes, please describe your role, where it was and how long you attended.
If you are currently in a Community Group, are you open to help form a new community group?
Yes, I would help form a new group.
No, I prefer to remain in my current group.
Maybe, I would like more information please.
When looking to join a CPC Community Group, please rate the characteristics of a community group that are important to you:
Childcare is handled by the group.
Childcare is provided by a paid care-giver.
Community Group with no children.
For further comments or questions regarding childcare, please indicate here.
Community Group Preferences:
Members live close geographically.
Members are in my age group.
Members are in same stage of life.
Members are multi-generational.
For further comments or questions regarding Community Group preferences, please indicate here:
First Choice for Group Meeting Times:
Your Email Address
in the box to the right »
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