Diocese of Madison
Young Adult Ministry Survey

Complete the entire form and then click the 'Submit' button at the bottom of the page.
Do not use the 'Enter' key.

If you are a Catholic between the ages of 18 and 39 residing in the Diocese of Madison, please complete this survey to help us better serve your needs. If you have questions, please call 608-821-3160 or send e-mail to YA@straphael.org.


Gender: Male     Female
Age: 18-24 years     25-29 years     30-34 years     35-39 years
Status: single     married
I have children


Check all that apply:
I like being involved in service projects or volunteering.
I like to help out at Mass (Lector, Eucharistic Minister, Greeter, Music, etc.)
I have donated my time to charitable organizations (food pantry, VA hospital, non-profit, etc.)
I actively seek out others to discuss religion.
I am trying to learn more about Catholicism/Jesus/religion.
I feel like I don't know my role in the Church.
I feel alone in my parish.
I like attending other churches (non-Catholic).
I like to have quiet prayer time regularly.
I pray only in times of need.
I want to pray but feel like I don't know how.
I would like to learn how to respond to questions about my beliefs.
I don't like to talk about my spiritual feelings with others.
I volunteer in youth ministry and catechesis.
I have run a bible study or prayer group.
I would be interested in learning to lead a group.
I am interested in helping plan events for young adults.
I invite my friends to go to church with me.
My frustrations with the church keep me from going to Mass.
I am already involved in YA events.
I struggle with the Church's position on .
I wish/want .
I need .


I would attend:
Bibile study
Talks on issues
Social events with other Catholics
Book club on religious topics
Speakers on religious topics
Prayer group
Adoration
Events having to do with marriage and parenthood
Catholic parent's group
Parent and child group
Other

My schedule would permit me to attend the above on (please check all that apply):
Monday     Tuesday     Wednesday     Thursday     Friday     Saturday     Sunday
Morning     Lunch     Afternoon     Evening
I would need childcare for children ages:


How can we, as fellow young adults, support you in your relationship with Jesus Christ?


Parish I attend most often (include city):
Email Address:
(Email addresses will only be used to share YA opportunities (2-4 times per month), and will not be shared with anyone else. Emails will be sent without displaying your address.