Great Marriages for Sheboygan County Survey
1.
What is your gender?
Female
Male
I prefer not to answer
  • Comment:

  • 500 characters left.
2.
What is your age?
18-24
25-34
35-44
45-54
55-64
65+
I prefer not to answer
3.
What are the age ranges of the following living in your household?
Children -- 0-6 years old
Children -- 7-12 years old
Children -- 13-18 years old
Children -- 18+ years old
Step Children -- 0-6 years old
Step Children -- 7-12 years old
Step Children -- 13-18 years old
Step Children -- 18+ years old
Grandchildren -- 0-6 years old
Grandchildren -- 7-12 years old
Grandchildren -- 13-18 years old
Grandchildren -- 18+ years old
No Children
4.
What is your marital status?
Single
Engaged
Married
Divorced
Widowed
Separated
Re-married
Living Together
Other  
5.
Have you ever participated in a Great Marriages event?
Yes
No
6.
In which events have you participated? Check all that apply
Prepare and Enrich/Mentoring
Workshops
Retreats
Annual Fundraiser
Date Nights
Corporate Lunch & Learn
Other  
7.
How likely would you be to attend events on these topics:
 Unlikely Might Be Useful Very Likely   
Communication   
Conflict resolution   
Problem Solving   
Assertiveness   
Stress   
In-laws   
Finances   
Parenting   
  • Comment:

  • 500 characters left.
8.
How likely would you be to attend events on these topics: (Continued)
 Unlikely Might Be Useful Very Likely   
Divorce   
Step families   
Work/life balance   
Health and Wellness   
Relationships   
Grandparenting   
  • Comment:

  • 500 characters left.
9.

Are there topics that are needed but not listed? 

 

1000 characters left.
10.
How do you prefer to access the resources available?
 Would Not Use Might Use Definitely Would Use   
Date Nights   
Workshops   
Lunch & Learn (At Work)   
Resource Library   
Website   
Mentoring (Prepare & Enrich)   
Social Media   
Webinars   
11.
Are there additional ways you would like to access resources?
 

1000 characters left.
12.
Would you attend an event at the following locations? 
 Not Interested Would be Fine Great Location   
Great Marriages office in Sheboygan   
My local church   
A coffee shop   
In my workplace   
A restaurant meeting room   
College campus   
  • Comment:

  • 500 characters left.
13.
Do you have any additional suggestions for meeting places?
 

1000 characters left.
14.
What day works best for you to attend an event? (Check all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
15.
What times work best? (Check all that apply)
Mornings
Afternoons
Evening
16.
What are the biggest obstacles preventing you from attending a Great Marriages event? (Check all that apply)
Cost
Location
Time
Childcare
Embarrassment
Convenience
Transportation
Fear
Confidentiality
Resistance from Spouse
Other  
17.

If you would like to be entered to win a Mark Gungor DVD set, free Date Nights, or books for filling out this survey, please enter your email!

 

350 characters left.