Adobe FormsCentral

• All answers will remain confidential. No answers are “right” or “wrong”; only the best answer matters. • If a question does not apply to your situation, please indicate that it is not applicable.
Full Name *
Your Email *
Best Phone to Reach You *
PAST
PAST Length of time pastoring this church

0 - 1 years 2 - 5 years 6+ years
Please give a brief history of how you came to this church:
PRESENT
What do you see your church doing better than anyone else?
At the bottom line, are people attracted to your church? What is the “magic,” the “uniqueness”?

Rate the following on a scale of 1-10 (10 = all time high; 1 = all time low)

	1	2	3	4	5	6	7	8	9	10
Personal Morale
Personal Momentum

Rate the following on a scale of 1-10 (10 = all time high; 1 = all time low)

	1	2	3	4	5	6	7	8	9	10
Team Morale
Team Momentum

Rate the following on a scale of 1-10 (10 = all time high; 1 = all time low)

	1	2	3	4	5	6	7	8	9	10
Church Morale
Church Momentum

What would you say are the three biggest roadblocks keeping the church from reaching its full potential at this time?
What are the most critical moves you need to make in the next 90 days?
If you could wave a magic wand and make three changes in the planting and knew everyone would be happy with the changes, what three things would you do ASAP?
What are the potential land mines within your church that could explode in the next 12 months?
What are the primary measurable results that your church considers the best indicator of the overall health and success? What are the next two?
FUTURE
What are your dreams for the church? What do you see the church doing in five or more years?
What three moves could easily double the size of your church in the next 2 years? Would you want to double your size?
If you could only accomplish three measurable goals for the church in the next five years, which three would you set today?
What ultimate contribution (lasting legacy) would you like to leave at this church?
How do you hope an outsider will be able to assist your church at this point?
What is your single greatest concern about the church at this time?

Staff Members Board Members Finances Lack of Vision Lack of Programs Too many Programs Lack of Assimilation Poor Volunteerism Stewardship Lack of Community Worship Children's Ministry Youth Ministry
What is the single greatest excitement you have about the church at this time?

Please rate the following on a scale of 1-10. (10 = excellent; 1 = in deep need of help)

Please rate the following on a scale of 1-10. (10 = excellent; 1 = in deep need of help)

PAST