Men's Ministry Survey

1. How many close male friends do you have (“close” meaning you can expose your weaknesses?)  

0________      1________   2 or more________  

2. How many often do you meet with another male friend and talk on a deeper level?

Once a week________       Several times a month________  

Once a month________     Rarely________   Never________

3. When you’re struggling with an issue in life (job, home life, marriage, temptation) how do you deal with it?  (Check all that apply)

Talk to a close friend ________

Ask a friend to pray for me ________

Pray and/or read the Bible ________

Handle it the best I can on my own________

4. When is the last time you looked at pornography?

Never________   Within the past year________   Within the past 6 months________

Within the past 3 months________ This month________  This week________

5. On a scale of 1 – 10, 10 being best, rate the following in your life:

Walk with God________

Marriage________

Job________

How you do as a father________

Overall satisfaction with life________

Personal integrity________

7. I’m interested in developing relationships that go beyond “job, sports, and money” with other Christian men ________

8. I’d like someone to contact me; I need someone to talk to________

9. I’m struggling with lust and would like someone I can talk to________

Name (optional unless 7-9 are filled out) ________________________________

Phone no. ________________________