Part of the HARBOR HAWAIʻI ʻOhana
HARBOR HAWAIʻI ʻOhana

CHURCH CHECK-IN

We care deeply about you, so we want to see how you’re doing right now, and find out if there are ways we can better serve you.

This anonymous form should take 3-7 minutes.

Church Check-In
1. What's your age?
2. What's your gender?
3. What's your marital status?
4. Any kids? (check all that apply)

Your Personal Experience

5
(0=poor, 10=excellent)
5
(0=no anxiety at all, 10=extreme anxiety)
5
(0=no stress at all, 10=extreme stress)
5
(0=no disruption at all, 10=significant disruption)
5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)

Your Church Experience

5
(0=disagree strongly, 10=agree strongly)
5
(0=disagree strongly, 10=agree strongly)
17. What's the most pressing need you have right now?
18. What type of service are you most prepared to offer others right now?
19. What other type of support do you most need from our church this week?
20. For the Sunday Stream broadcast, what time would work best for you?

OPTIONAL Contact Info

If you would like us to get in touch with you about any of the needs mentioned, feel free to enter your name and email below.