Introduction

This is a Confidential Survey developed by Men of Integrity Men's Ministry. We will not ask your name or any contact information. The specific answers you give will only be compiled and combined with all other answers. Your honesty is important here. This will help us understand how we can better serve the men of our church and men in our community. Thank you for investing a few minutes to help us more effectively equip the church to reach and disciple men.

Confidental Information

Please share with us some basic information.

1. Your Age?

13-19 20-29 30-39 40-49 50-59 60+

2. Marital Status

Single, never been married
Married, first time
Married, second time
Presently Separated
Divorced and Single
Widowed
Other (please specify)

3. If you have children, please tell us about them. Please check all that apply.

In Home College/Military Other
No Children
Under 13
13-18
Over 18

Spiritual Discipline At Home

4. How often do you read the Bible outside of church?

I read the Bible daily.
I read the Bible regularly. (5-6 times a week)
I read the Bible occasionally. (2-3 times a week)
I read the Bible a few times a month.
I read the Bible a few times a year.
I almost never read the Bible.

5. In the past 12 months, outside of giving thanks at meals, how often have you invited your wife to pray with you.

I am not married.
Almost daily
2-3 times/week
Weekly
Monthly
2-3 times/year
Almost never

6. In the past 12 months, how often have you gathered the family together for bible reading and prayer? (Family devotions)

No children presently at home
I don't have any children yet
Almost daily
2-3 times/week
Weekly
Monthly
2-3 times/year
Almost never

Men's Ministry

7. Are you presently in a regular men only small group?

Yes
No, but I was previously in a men's small group
No, but I am in a small group with men and women
No

8. In the last 3 years, have you attended any of the following? Please check all that apply

Men's Night at Church
Service Project
Men's Retreat
Missions Trip
Men's Bible Study

You and The Gospel

9. How long have you been a Christian?

I have not received Christ as my personal Savior
1 year or less
2-5 years
5-10 years
More than 10 years
All my Life

10. How would you measure your faith walk in the last 12 months

Most growth ever in my life in Christ
Solid growth - not standing still
Standing still - no measurable growth
Struggling to grow for a variety of reasons
Doing very poorly and need help

11. In the last 3 years, how often have you invited another man to your church for Sunday morning worship?

Once a month Once a quarter Once a year Almost never

12. In the last 3 years, have you invited another man to come to any type of men's event with you?

Once a month Once a quarter Once a year Almost never

13. Have you shared your personal testimony of coming to faith in Christ the past twelve months?

Yes No

14. Have you shared the Gospel with another person and given them an opportunity to trust Christ as their Savior?

Yes, this past week Yes, this past month Yes, this past year Yes, over one year ago Not Yet

You Work and Resources

15. Please tell us about your work status.

Full time employee
Part time employee
Unemployed
Self Employed
Retired

16. How many hours do you work each week on average this past year?

Less than 30
30-40
40-45
45-50
50-60
60+

17. How long is your typical work commute one way?

15 min
15 - 30 min
30 - 45 min
45 - 60 min
1 hr
On the road job

18. How long have you been at your present job?

Less than 1 year
1-3 years
3-5 years
5-10 years
10 years plus

19. Rate your job satisfaction in the last 12 months.

Best year ever in my work life
Very satisfying
Satisfying
Less than satisfying
Anxious to move to different employment

20. What is your gross annual income (before taxes)?

$30,000
$30,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
$150,000

21. What percentage of your gross annual income (before taxes) have you given back to God (through local church and other Christ centered ministries)?

Don�t know
5%
5-10%
15-20%
greater than 20%
I have yet to really start giving a % of my income

Church Specific Questions

22. What are the top 2 areas of a man's life that you would like your church to encourage and provide resources for?

Sexual integrity
Financial stewardship
Being a Godly Husband
Competing time demands
Being a Godly father
Serving, using spiritual gifts

23. What are the top 3 things your church has done in men's ministry?

24. For you, in your church right now; what is helping you spiritually grow the most?

Men's Concern

This next section deals with concerns that seem to be specific and common to the average man. Your honest answers in this section will really help. Remember that this entire survey is completely confidential.

Anger and Control

25. How often do you loose your temper?

Almost daily
2-3 times/week
Weekly
Monthly
2-3 times/year
Almost never

26. Is your temper a significant issue in your life? Please choose all that apply

Yes, at home
Yes, in the car
Yes, at work
No, not really an issue

27. How do you typically vent your anger? Please choose all that apply

Sometimes verbal abuse
Sometimes emotional abuse
Sometimes physical abuse
Sometimes sexual abuse
Sometimes placing extreme financial controls
Sometimes withdraw and disconnect
Other (If other, please specify)

Gambling

28. Is gambling a significant issue in your life

Yes, it presently is an issue
Yes, it was an issue but it has not been for the past 12 months
No, it is not an issue and has not been an issue

29. Do you, or have you gambled in the following areas? How often?.

Almost Daily 2-3 Times/week Weekly Monthly 2-3 Times/year Did, but don't Now Almost Never Never
Lottery
Casino
On Line
Sports Betting
Horse/Dog Track
Poker/Cards
On The Boat

Alcohol and Substance Abuse

30. In the past year, on average; how often have you had any type of alcohol?

Daily
2-3 times per week
Weekly
2-3 times per Month
Monthly
Couple times per year
Rarely
Never

31. In the past year, has drugs, and/ or substance abuse been an issue for you?

Yes, they continue to be an issue
Yes, but I am in Recovery
No, not an issue

Pornography and Sexual Purity

32. How often do you view pornography?

Daily
2-3 times / week
Weekly
2-3 / month
Monthly
2-3 / year
Never

33. Pornography on the Internet is the number one temptation most men face in their quest for a life of integrity. How are you doing in this area?

Poorly, Internet Porn is my greatest present struggle
Better, Internet Porn has been a past struggle for me
Pretty well, Internet Porn has not been an issue for me the past year
Very well, Internet Porn has never been a struggle for me

34. Would you be interested in a small group that deals specifically with men and sexual strongholds?

Yes, I would be interested
Yes, I may be interested if schedule works out
No, not interested