CPC Community Groups Survey - Household
 
CPC Community Groups Survey - Household
Date
Household Last Name  * 
First Name  * 
Spouse/Children and Ages: * 
Primary Household Member's Age Range:  * 
Which geographical area do you live?  * 
Phone
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?  * 
When looking to join a CPC Community Group, please rate the characteristics of a community group that are important to you:
Children/Childcare:
For further comments or questions regarding childcare, please indicate here.
Community Group Preferences:  * 
For further comments or questions regarding Community Group preferences, please indicate here:
First Choice for Group Meeting Times:  * 
Your Email Address  * 
Please type in the box to the right »  * 
 
 
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