EmailMe Form - MOMS Discernment Survey

1. The statement which best expresses the Overall Mission of our Holy Family MOMS group is? Please choose one or write your own statement in the Comment Section below.
MOMS helps women to grow in the Faith by nourishing their spiritual needs.
MOMS helps women support each other through life's challenges.
MOMS is a social opportunity to network within the Parish
2. The statement which best describes how your Spiritual Needs are currently being met?
I am comfortable with my spirituality, enjoy a close relationship with God and have an active prayer life.
I am satisfied with how I am curently meeting my spiritual needs even though it is an area in which I wish to grow.
I am dissatisfied with how I am currently meeting my spiritual needs and experience discomfort because of it.
Who has time for spirituality? Have you seen my "to do" list?
3. Which statement best describes how your Support needs are currently being met.
I have an amazing Support Network of family and friends who I can call on to get me through the challenges life throws at me.
I rely on my family for assistance with any challenges.
I do not have famial support and would look to the Church for support should the need arise.
I feel like I am alone and no one cares.
4. On a scale of 1-5, please rate how MOMS is currently meeting your needs. *

Great Good Average Fair Poor

Spirituality 1 2 3 4 5

Support 1 2 3 4 5

Content 1 2 3 4 5
5. Which statement best describes how you feel about participating in a MOMS-sponsored event.
I have already completed the MOMS journey and am waiting for some sort of weekly MOMS enrichment activity.
I have already completed the MOMS journey and am waiting for a monthly MOMS entrichment activity.
I have not completed the MOMS journey but would like to participate in a MOMS enrichment activity.
I have already complted the MOMS journey and have moved on to other activities so I do not feel the need to attend any MOMS enrichment activities.
6. Please indicate ANY or ALL activities that you would be interested in actively attending. Choose all that apply. If you are interested in other activities not listed, please write in the Comment Section below.
Hosting MOMS Coffee and Donuts
MOMS Half Day Retreat
MOMS Family Fun Day
MOMS Support Group for Young Mothers
MOMS Support Group for Mothers of Pre-teens/teens and Mom and Teen Service Project
MOMS for Grandmas (G-MOMS)
Individual MOMS Session Reunions
MOMs Book Club
MOMS Sharing Our Stories (S.O.S.)
MOMS Lenten Spiritual Activity
7. The best days for me to participate in a MOMS activity would be? (choose all that apply)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday (afternoons only)
8. The best times for me to participate in a MOMS activity would be? (choose all that apply).
Please note that the times listed do not reflect the activity length.
Early morning (6:30 - 9:00 am)
Morning (9:00 - 11:30 am)
Afternoon (11:30 am - 1:00 pm)
Evening (6:30 - 9:30 pm)
9. I am interested in helping with a MOMS enrichment activity.
Yes
No
10. In order for me to participate in a MOMS activity, childcare MUST be available.
Yes
No
Sometimes
11. Which statement(s) best describe you? Choose all that apply.
I am an expectant mother.
I am the mother of an infant/toddler.
I am the mother of a pre-schooler.
I am the mother of a grade-schooler.
I am the mother of a teenager.
I am the mother of a college student/adult child.
I am a single mother.
I am a grandmother.
I am not a mother, but I work closely with children.
Please enter your email address (optional)
Name (optional)
First Last
Phone (optional)
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Address (optional)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Comments/Suggestions/Concerns

	Great	Good	Average	Fair	Poor
Spirituality	1	2	3	4	5
Support	1	2	3	4	5
Content	1	2	3	4	5

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