Tell us what you think.

spiritual needs survey

Use this form to give us your thoughts on what church in the 21st Century should look like. If you want us to contact you, please complete the personal contact information. Your contact information remains completely confidential.

About You
Age
Gender
Marital Status
Children	Number Age Range
Religious Background
I attend church at least once per month
I live in	Zip code (required)
Personal Preferences
What is your favorite type of music?
Who is your favorite band/performer?
What do you like to do in your free time?
How long has it been since you went to church? (Don't include funerals or weddings.)
What is the best day of the week for you to go to church? Time?
What things would you look for in a church?
What spiritual needs would you look to have met by the church you attended?
What practical needs would you look for the church to meet?
How can we make church in the 21st century relevant to your life?
How would you want participation in the church to impact your family or relationships?
How would you want participation in the church to impact your children and/or teens?
Contact Information (If you would like more information about Westside Assembly.)
Name
Email
Address
City
Check All that Apply
Please subscribe me to your church newsletter.
I Live in the Lakeside/Somers, Montana area; please contact me.
Please tell me how to begin a relationship with God.
Please send me more information about Westside Assembly.
Thank you for your input! We appreciate your input!