First Baptist Church of Downey Student Ministries
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Parent Input Page
150 Year Celebration
June 2016 Parent Survey
Please take a moment and share some of your thoughts
General Info
*
Indicates required field
Name
*
First
Last
Email
*
Cell phone #
*
Social Media Options
*
Facebook
Twitter
Instagram
I don't use a social media account
I prefer email
I'd rather get a letter
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Scheduling
How does this summer look like for your family?
*
Summer? It's so busy I feel like we're all working!
I am swamped and I would totally change places with my kids because they are free
My kids are crazy busy, but I have some time available
We are pretty open this summer
PLEASE Plan stuff! We are bored out of our minds!
Times I am available
*
Good Luck. I'm pretty swamped. text and email and I MIGHT connect with you ... SOMETIME
Evenings are pretty good
Afternoon
Mornings
Weekends
It varies
Concerns
I feel that my child is affected negatively by ...
*
Alcohol
Drugs
Bullying
Fatherlessness
Lonliness
Depression
Self esteem issues
Gender identity
Ethnic/Cultural Issues/Concerns
Godlessness
Please note the main issues you think your child faces today (Thought this does not necessarily mean they are struggling with this personally.)
Comment
*
Please note any other significant issues that you feel your child might be currently facing today.
As a Parent, my issues deal with ...
*
Finances
Time Management
Family Communication
My kids making me crazy
Time alone
Personally developing spiritually
Developing Spiritually as a family
Comment
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Please note any other issue you face as a parent that you feel is significant (Or perhaps you have friends who are parents that struggle with this.)
Summer Options
For THIS Summer (2016) I would like to see events that are ...
*
Fun and Safe
Local and inexpensive
A Road Trip
Spiritually Deep
Several Options
Relationship building
Family Friendly (I want to join!)
When it comes to cost, I prefer events to be ...
*
As cheap as possible
$5-$10
$11-$25
Worthy of the activity
Cost is not an issue
As a Parent, I am willing to ...
*
Chaperone
Drive
Cook/Bake
Host
Serve on a monthly basis
Pray
Donate
Offer a Special
Serve on a weekly basis
Serve in a leadership capacity (See Leader Forms)
Comment
*
If you have a special talent/gift/skill/knowledge set you are open to sharing, please note that here.
Submit