Gayton Baptist Church Community Survey
 
1. Please enter your zip code
 
 
 
2. Your sex:
      

 
 
 
3. Your age range:
      

 
 
 
4. Your marital status:
      

 
 
 
5. Indicate the number of people in your household in each of the following categories:
  1 2 3 4
Children (0-12)
Teenagers (13-18)
Adults (over 18)
 
 
 
6. What is the greatest concern in your household? Choose 1.
      

 
 
 
7. What do you see as the most pressing needs in our community ? Choose up to 3.
      
 
 
 
8. Is there anything else of which you would like to make us aware?
 
 
 
Thank-you for taking the time to complete our survey. We appreciate your input and look forward to serving you. Please conclude by clicking on "submit."
 
 
 
 
 

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