Knights Of Columbus

Columbus Diocese Chapter

Lord, I am your servant

Member Experience Interest Survey

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To our new and current members,

Please know that we value your judgment, we appreciate your opinions, and we rely on your participation for the continued success of our council and parish. Our Knights of Columbus council conducts a variety of programs and activities where you can personally contribute your talents and fulfill your ambitions. In an effort to ensure a great Knights of Columbus council experience, we ask that you complete the following survey. Thank you and Vivat Jesus!

Your name

Your email

Phone:
Cell

Home

Marital Status: MarriedSingleWidower

If Married, Wife’s Name:

Number of children:
Boys
Girls

Occupation:

Parish/Church:

Hobbies/Interests:

Please list your preferences for those Faith in Action programs you would be interested in volunteering at or attending.

FAITH
General Interest in Programs Designed for Faith FormationInto the BreachPilgrim Icon ProgramBuild the Domestic Church KioskRosarySpiritual ReflectionHoly HourSacramental GiftsRefund Support VocationsProgram (RSVP)Other

Faith Other:

FAMILY
General Interest in Programs Designed to Strengthen FamiliesFamily of the MonthKeep Christ in ChristmasFamily Fully AliveFamily WeekConsecration to the Holy FamilyFamily Prayer NightGood Friday Family PromotionFood for FamiliesOther

Family Other:

COMMUNITY
General Interest in Programs Designed for Community ServiceDisaster PreparednessFree Throw ChampionshipSoccer ChallengeHelping HandsCatholic Citizenship Essay ContestCoats for KidsGlobal Wheelchair MissionHabitat for HumanityOther

Community Other:

LIFE
General Interest in Programs Designed to Create a Culture of LifeChristian Refugee ReliefSilver RosePregnancy Center SupportAid & Support After Pregnancy (ASAP)Novena for LifeMass for People with Special NeedsMarch for LifeSpecial OlympicsUltrasoundOther

Life Other:

How much time do you think you can contribute to council activities?
1 hour per month1 hour per weekMultiple hours per weekWill vary based on project

What are some ideas you have for new or improved programs?

Would you be able to assist in leading any new or improved program? YesNoShared

What do you hope for through your membership in our council?