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CHAT Registration Form

* denotes a required field
*Full Church name:
*Denomination:
*Street Address:
*City:
*State:
*Zip: -
Mailing Address: Same as street address
 Mailing Address:
 City:
 State:
 Zip: -
*Phone: () - -
 Fax: () - -
*Church Contact [First Name]
[Last Name]:

*Church Contact Title:
*Email
(where assessment results will be sent):
(EX JohnDoe@aol.com)
*Confirm Email
Website:
*Year church was established: ( Must be Numeric )
*Senior pastor [First Name]
[Last Name]:

*Average weekly attendance of adults: ( Must be Numeric )
*Number of worship services per weekend: ( Must be Numeric )
*Number of paid staff: ( Must be Numeric )
*Total annual budget:
*How did you hear about CHAT?:
*Date Survey will be available:(MM/DD/YYYY) Choose date
*Date Survey will be closed:(MM/DD/YYYY) Choose date

Each survey participant will see the following greeting and brief instructions prior to beginning the survey. Please take a moment to personalize the closing at the bottom (you may add/edit as you like).
Welcome!

Thank you for taking the time to participate in this survey. The first step in assessing the health of our church is to get an honest appraisal of where we currently stand. As a result, we'll know where we need to apply intentional focus and openness to God's continued shaping of our ministry.

Please try to answer each question candidly and honestly. Your first reaction is usually best so try to move swiftly through the assessment without bogging down and overanalyzing your responses. This should take approximately 25 minutes to complete.

Be assured that your responses will be kept strictly confidential and at no point will your name be associated with your responses and/or remarks. With your help, we can identify our strengths as well as our soft spots and pursue all that God has intended for our church.

IMPORTANT: Do not use the browser's BACK button during the survey. Doing so may lock up your computer.
In order to keep your survey secure, please pick two separate passwords. One for your leadership team and the other for your congregation.
Don't worry, these will be emailed to you in a confirmation email.
*Leadership team password:
*Congregation password:
Accept?
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