Leader's HEALTH DIAGNOSIS SURVEY QUESTIONNAIRES

Leader's Health Diagnosis survey basic information(No.1~No.16)

Instructions - Please read carefully
• This questionnaire will help to discover the strengths and weaknesses of your church members. It is important that you answer all of the questions by marking one of the indicated boxes. When you come to a question in which none of the responses match your opinion, please choose the response that corresponds as closely as possible to your opinion. Think about your church and how it currently looks from your point of view.
• If you feel that a question is not applicable to your church's situation, leave it blank.
• This questionnaire is used worldwide in a wide variety of denominations. As a consequence, you may not be used to some of the vocabulary in the questions. Answer each question based on what you think it means.

• The questionnaires are evaluated anonymously.
Your answers will be treated absolutely confidentially.

Please answer the following questions:

Question Title

* 1. Survey Date (dd/mm/yyyy)

예) 01/31/2013

날짜

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* 2. How many times is the Leader's HEALTH DIAGNOSIS SURVEY?

1st

2nd

3rd

4th

5th

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* 3. Area?

Korea

USA

캐나다

중국

Other(Write the name of your country.)

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* 4. Church name?

Question Title

* 5. What is your denomination?

Methodist

Holiness

Full Gospel

Presbyterian

Baptist

Other(Write down your denomination.)

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* 6. Name?

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* 7. Email address?

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* 8. Gender.

Male

Female

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* 9. Age.

< 20

21-30

31-40

41-50

51-60

61-70

70 above

Question Title

* 10. How long have you been a Christian?

0-5

6-10

11-15

16~20

21~25

26~30

31~35

36~40

41 above

Please enter the exact number of years(ex>15)

Question Title

* 11. What is the position of the church?

Pastor

Pastor wife

Assistant Pastor

Assistant Pastor wife

Missionary

Elder Deacon

Small Group Leader

Question Title

* 12. How much percentage(%) do you contribute to your church in your income? Tithes, mission fund..)

1% Under

1 ~ 4%

6 ~ 9%

10%

10% above

1% Under

1 ~ 4%

6 ~ 9%

10%

10% above

Question Title

* 13. How many non-Christians do you have around you?(those who have relationship with you either like or not, except business)

None

1-2

3-5

6-10

11-20

21-30

30 above

None

1-2

3-5

6-10

11-20

21-30

30 above

Question Title

* 14. Approximately how much time do you spend in prayer each day?

10 min

10-20

21-30

31-45

46-60

61-90

91-120

120 above

10 min

10-20

21-30

31-45

46-60

61-90

91-120

120 above

Question Title

* 15. How is your Spiritual and Christian Leadership conditions?
(Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)

Question Title

* 16. How is your church's spiritual and Christian leadership conditions ?
(Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)

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Question Title

* 1. Survey Date (dd/mm/yyyy)

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* 2. How many times is the Leader's HEALTH DIAGNOSIS SURVEY?

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* 3. Area?

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* 4. Church name?

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* 5. What is your denomination?

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* 6. Name?

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* 7. Email address?

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* 8. Gender.

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* 9. Age.

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* 10. How long have you been a Christian?

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* 11. What is the position of the church?

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* 12. How much percentage(%) do you contribute to your church in your income? Tithes, mission fund..)

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* 13. How many non-Christians do you have around you?(those who have relationship with you either like or not, except business)

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* 14. Approximately how much time do you spend in prayer each day?

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* 15. How is your Spiritual and Christian Leadership conditions? (Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)

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* 16. How is your church's spiritual and Christian leadership conditions ? (Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)

* 15. How is your Spiritual and Christian Leadership conditions?
(Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)

* 16. How is your church's spiritual and Christian leadership conditions ?
(Scale 8-10 is above average, and 5-7 are average, and 1-4 are above average please circle it at box)