Church Health Assesment Tool - www.healthychurch.net

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:
*Senior pastor [First Name] [Last Name]:
*Average weekly attendance of adults:
*Number of worship services per weekend:
*Number of paid staff:
*Total annual budget:
*Date Survey will be available:(MM/DD/YYYY)	Choose date
*Date Survey will be closed:(MM/DD/YYYY)	Choose date
By default, the greeting and instructions prior to the assessment tools for the Healthy Church Assessment will appear as follows. Please personalize the closing at the bottom! 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. NOTE: Do not use the browser’s BACK button during the survey. Doing so make lock up your computer. Gratefully in Christ, The Leadership Team [Your Church Name Here]
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:
Release of Data for Aggregated Research Your church's data will be combined into an international aggregate database of all churches that have participated in the assessment process. This database enables us to study macro level trends in denominations, generational categories, geographic regions, etc. All data will be kept strictly confidential. At no point will your individual churches data be singled out or made available to the public. We do not sell or share our mailing list.
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CHAT Registration Form

* denotes a required field