USG Demographics Survey - 2012
Progress: 
 
Please complete separately for each individual adult in the household that is either a member or friend of USG.
 
Personal and Religous Identification
 
1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

2.
Date of birth.  (e.g.; 07/22/1970)
 

50 characters left.
3.
Gender.
Male
Female
4.
Occupation.
 

50 characters left.
5.
Educational background.
Highschool or Less
2 - 4 Year College Degree
Graduate Degree
Professional Degree (MD, JD, PHD, etc.)
6.

Describe your ethnicity.

African Descent / Black
Asian
Latino / Hispanic
Native American
White / Caucasian
Other  
7.
Sexual orientation.
Heterosexual
Gay
Lesbian
Bisexual
Queer
Other  
8.

USG Membership status.

Member
Non-Member
Contributing Friend
9.
If a member, please indicate the year you joined.
 

50 characters left.
10.

How would you characterize your religious or spiritual orientation?  Check all that apply.

Agnostic
Athiest
Buddhist
Christian
Deist
Earth-Centered Spiritualist
Jew
Muslim
Theist
Unitarian Universalist
Other  
11.
Please check which skills you could share with USG.
Accounting / Financial Management
Archiving
Arts/Music / Instrumental / Vocal / Dance / Creative
Carpentry / Wood Working
Communications / Writing
Computer / IT / Data Entry
Cooking / Catering
Electrical / Plumbing / Painting / Repair
Education / Teaching
Hospitality
Leadership Training / Development
Landscaping / Gardening
Marketing / Events / Fundraising
Photography / Videography
Public Relations
Public Speaking
Web / Graphic Design
Other  
12.
Frequency of USG Sunday Services attended per month.
0
1
2
3
4
13.
Frequency of USG functions attended per month.
0
1-3
4-6
7-10
Greater than 10
Other