Youth Assessment Interest Form
First Name
Last Name
Email Address
Phone
Church name
What's your job title?
What city is your church in?
What state is your church in?
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
What best describes your church's weekly attendance?
Please select...
1-99
100-299
300-499
500-999
1000-1999
2000-9999
10,000+
What best describes your youth group's weekly attendance?
Please select...
1-9
10-19
20-39
40-74
75-100
100-200
200+
What best describes the staffing for your church’s youth ministry?
Please select...
Volunteers
A part-time employee
A full-time employee
A full-time employee + a part-time employee(s)
More than one full-time employee
An employee who splits their time with other church responsibilities (e.g., worship leader, associate pastor, care ministry, etc.)
Other
What best describes your congregation's race/ethnicity?
Please select...
Primarily Black or African American
Primarily White or European American
Primarily Hispanic or Latino
Primarily Asian
Primarily Native Hawaiian/Pacific Islander
Multi-ethnic (roughly equal parts of more than one ethnicity)
How long has your church been in existence?
Please select...
Less than 5 years
5 to 9 years
10 to 19 years
20 to 29 years
30+ years
How many people are on staff at your church (including office/administrative staff)?
When would you like to begin your assessment?
Disclaimer
By submitting this form, you give TreeHouse permission to use the data collected from this assessment in publications or marketing. We will never use this data in correlation with your church's name in any way, unless permission is expressly granted.
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