My HomePointe Plan
Are you married or single?
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Married
Single
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How intentional have you been about nurturing intimacy? (Check all that apply)
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Had a “date night” twice or more per month to focus on one another without distractions
Wrote a note, gave a flower, or some other tangible expression of love at least twice per month.
Called during the day, sat down to chat, took walks together, or some other time of focused, non-task driven communication at least three times per week.
Prayed with my spouse at least twice per week.
Demonstrated meaningful touch and/or verbal affirmation at least once per day.
None of the above.
How intentional have you been about avoiding dangers? (Check all that apply)
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Took steps to reduce risk on my marriage in vulnerable areas (bad temper, relationships outside of my marriage, demeaning language, etc.) by maintaining boundaries, increasing accountability, etc.
Took care of myself physically and emotionally to be the best lifelong spouse I can be.
Admitted I was wrong and apologized and/or forgave before going to bed after conflicts with my spouse.
None of the above.
How intentional have I been to build a lifelong thriving marriage?
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1
2
3
4
5
Not Intentional
Very Intentional
1 is Not Intentional, 5 is Very Intentional
How confident are you that your marriage will last until one of you dies?
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1
2
3
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5
Not Confident
Very Confident
1 is Not Confident, 5 is Very Confident
How confident are you that your marriage, for the most part, is God-honoring?
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1
2
3
4
5
Not Confident
Very Confident
1 is Not Confident, 5 is Very Confident
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Check all that apply to you:
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Never been married
Widowed
Divorced
College
20-39
40-65
65+
How intentional have you been in regards to growing as a single person? (check all that apply)
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I attend worship services regularly.
I am involved in a small group ministry (life group, bible study, accountability group, faith-based community).
During this season of singleness, I am taking proactive steps to be the person God wants me to be.
I serve in an area of ministry (children's, missions, singles, other).
None of the above.
Which statement best applies to you?
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I hope to marry.
I believe God has called me to singleness.
How intentional have you been in regards to your future marriage? (check all that apply)
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Prayed about/for my future spouse and that my future marriage will be God-honoring.
Kepyt myself sexually pure knowing my body is God’s gift to my future spouse, or repented of past sexual sin and committed to remain abstinent until married.
Took proactive steps toward finding a Godly mate and preparing for marriage by learning to be complete in Christ alone.
Practiced spiritual and physical disciplines to help me become the best gift possible to the person I marry.
Attended pre-engagement or pre-marital counseling or other sessions to learn the Christian view of marriage.
None of the above.
How intentional have you been in regards to God's call to singleness for your life?(check all that apply)
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I plan to remain single throughout my life to give time, resources, and attention to Christian ministry.
I am taking a proactive step in learning to be complete in Christ alone.
I am practicing spiritual and physical disciplines in order that I may live out biblical singleness.
I am committed to keeping myself pure as I believe God has called me remain single.
None of the above.
How intentional have you been to honor God in your singleness and/or prepare for a God-honoring marriage.
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1
2
3
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5
Not Intentional
Very Intentional
1 is Not Intentional, 5 is Very Intentional
How confident are you that your future marriage will be God-honoring.
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1
2
3
4
5
Not Confident
Very Confident
1 is Not Confident, 5 is Very Confident
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Do you have any children living at home?
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Yes
No
How intentional have you been in regards to parenting? (check all that apply)
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Connected relationally with my child/children daily (help with homework, eat together, etc.).
Did something special with my child/children (hobby, ice cream date, etc.) twice per month.
Created an opportunity for discussing my beliefs and values with my child/children at least once per week.
Prayed with my child/children (including meals, bedtime, etc.) at least five times per week.
Admitted I was wrong and apologized and/or forgave before going to bed after conflicts with my child/children.
Served together and/or participated in an intergenerational faith experience (father/daughter date night, local mission event, etc.) with my child/children at least once in the past couple of months.
Picked up or dowloaded age-appropriate Faith Path kit and put the resources into practice.
None of the above.
How intentional have you been to help you child/children build a strong faith?
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1
2
3
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5
Not Intentional
Very Intentional
1 is Not Intentional, 5 is Very Intentional
How confident are you that your child/children will have a strong Christian Faith in adulthood?
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1
2
3
4
5
Not Confident
Very Confident
1 is Not Confident, 5 is Very Confident
Have you received Faith Path birthday emails for your child/children? (ages 3-18)
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Yes
No
N/A
Please provide your email address for us to contact you:
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Do you have Grandchildren?
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Yes
No
How intentional have you been in regards to grandparenting? (check all that apply)
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Did something to connect with my grandchild/grandchildren (a letter, phone call, etc.) at least once per month.
Did something to help my grandchild/grandchildren inherit a strong spiritual legacy at least once per month.
Prayed for my grandchild/grandchildren at least five times per week.
None of the above.
How intentional have you been to help you grandchild/grandchildren build a strong faith?
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1
2
3
4
5
Not Intentional
Very Intentional
1 is Not Intentional, 5 is Very Intentional
How confident are you that your grandchild/grandchildren will have a strong Christian Faith in adulthood.
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1
2
3
4
5
Not Confident
Very Confident
1 is Not Confident, 5 is Very Confident
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