* 1. Name (optional)

* 2. How old are you?

* 3. How do you get to church? (Tick all that apply)

* 4. How long have you been at St Simon's?

* 5. How often do you attend services?

  Weekly Fortnightly Monthly Less than monthly
Morning service
Evening service

* 6. What was your first connection to St Simon's?

* 7. What do you like about the church? And what could we do better?

* 8. Looking ahead to the next 5 years, what would you like to see God do at St Simon’s? How might you be a part of that?

* 9. How committed do you feel to the church? Are you involved in service, or other midweek activities? Do you have gifts/skills you'd like to put to use?

* 10. Thanks for your help! Anything else to add?