sharing life survey
We were happy to share not only the gospel, but our lives as well.  1 Thess 2:8

Sharing life. It's what HOME 128 is all about!

As a space for couples and parents, we gather to invest in each other's lives. Together we're creating a community of giving and receiving. Help us plan meaningful events by sharing your input below. 

Thank you!

 
1.
PERSONAL INFORMATION - Please add yourself to our email list (optional):

First Name:
Last Name:
Email Address:
emailaddress@xyz.com
Primary Phone:

2.

GENDER

Male
Female
3.
LIFE STAGE - Check all that currently apply to you:
Married
Engaged
Divorced
Single
Parent of dependent children
Parent of adult children
4.

AGE BRACKET - Check the appropriate box:

Under 30
30's
40's
50's
60's
70's
80+
5.
CHILDREN - If you have dependent children, how many do you have in each stage?
   
Infant   
Toddler   
Elementary   
Middle School   
High School   
College   
  • Comment:

  • 500 characters left.
6.

COMMUNITY - Every family needs community. Do you have local family or friends that are a support system to you?

Yes
No
  • Comment:

  • 500 characters left.
7.
SCHEDULE - Which of the following options would best fit your schedule for HOME 128 events and gatherings? Check all that apply:
Sunday Nights
Monday Nights
Tuesday Nights
Wednesday Nights
Thursday Nights
Friday Nights
8.
PRIORITIES/PREFERENCES - Please rate the importance of each of the following when deciding to attend an event.
 Very unimportant Somewhat unimportant Neutral Somewhat important Very important 
Relationships & Connecting
Length of event
Time of day
Childcare availability
Cost
Fun
Food
Topic
Speakers
Networking opportunities
  • Comment:

  • 500 characters left.
9.
TOPICS - What marriage or parenting themes would you like to see as the focus for future events?
 

350 characters left.
10.

SHARING LIFE - We've all faced various seasons, even challenging ones. What have you gained that you could share with someone in a similar place?


 

350 characters left.