David Chapel Missionary Baptist Church - Austin, Texas

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You are here: Home / Special Announcements / Personal Areas of Concern / Well Being Index and Services Survey

Well Being Index and Services Survey

David Chapel Personal Areas of Concern Survey

As part of our strategic planning, we would like to determine the demographics or characteristics of our members. This information will better assist us in providing ministries and resources to meet member needs. We would appreciate you answering the following questions. Your name is not requested, only general characteristics. In addition, we will not use these characteristics to identify the responses of anyone, only to report the general characteristics of the David Chapel membership.

Demographics
Gender
- Male
- Female
Age
Please enter a value between 1 and 115.
Marital Status (check all that apply)
- Married
- Single, Never Married
- Single
- Previously Married
- Widowed
- Divorced
Ethnicity (check all that apply)
- African American/Black
- White, non-Hispanic
- Hispanic
- American Indian
- Asian/Pacific Islander
Do you have any children?
- Yes
- No
Number of Children living in your home
Please enter a value less than or equal to 20.
What are the ages of the children living in your home?
Number of Children not living in your home
What are the ages of the children not living in your home?
Employment Status (check all that apply):
- Employed full-time
- Employed part-time
- Not employed
- Retired
- Employed outside the home
- Employed – work from home
- Other
Please describe
Annual Income
- Less than $10,000
- $10,000 - $30,000
- $31,000 - $50,000
- $51,000 - $70,000
- $71,000 – $90,000
- $91,000 - $150,000
- more than $150,000
Part I: Well Being Index
My daily ability to provide for my basic needs (food, clothing, housing, etc.) is:
- Thriving
- Struggling
- Suffering
- N/A
My Current Employment is:
- Thriving
- Struggling
- Suffering
- N/A
I would describe my current financial situation as:
- Thriving
- Struggling
- Suffering
- N/A
My current housing situation is best described as:
- Thriving
- Struggling
- Suffering
- N/A
My ability to meet my mortgage/rent obligation is:
- Thriving
- Struggling
- Suffering
- N/A
As a retiree, my financial situation is:
- Thriving
- Struggling
- Suffering
- N/A
My physical health is best described as:
- Thriving
- Struggling
- Suffering
- N/A
My emotional health (happy, sad, ability to cope, etc.) is best described as:
- Thriving
- Struggling
- Suffering
- N/A
If married, my relationship with my spouse is:
- Thriving
- Struggling
- Suffering
- N/A
My ability to develop and maintain relationships is:
- Thriving
- Struggling
- Suffering
- N/A
If not married, my relationship with a significant other/partner (romantic relationship) is:
- Thriving
- Struggling
- Suffering
- N/A
My relationships with friends can best be described as:
- Thriving
- Struggling
- Suffering
- N/A
My relationships with co-workers can best be described as:
- Thriving
- Struggling
- Suffering
- N/A
My relationships with family (parents, siblings, etc.) are:
- Thriving
- Struggling
- Suffering
- N/A
My access to health care services is:
- Thriving
- Struggling
- Suffering
- N/A
Comments on Part I
Part II: Services
For any personal concerns identified, please indicate the best way to address or resolve the issue. Services relates to those services currently provided or those that should be provided by David Chapel programs and ministries. Use the following descriptions as a guide for how to answer each question. Services are described in detail below.
My ability to provide for my basic needs (food, clothing, etc.) can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My current employment can best be addressed by :
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My current financial situation can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My current housing situation can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My ability to meet my mortgage/rent obligation can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
As a retiree, my financial situation can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My physical health can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My emotional health (happy, sad, ability to cope, etc.) can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
If married, my relationship with my spouse can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My ability to develop and maintain relationships can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
If not married, my relationship with a significant other/partner (romantic relationship can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My relationships with friends can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My relationships with co-workers can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My relationships with family (parents, siblings, etc.) can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
My access to health care services can best be addressed by:
- Advocate
- Mentor
- Class
- Resource Materials
- N/A
Comments on Part II

Holy Change

Holy Change: A Systemic Approach to Transforming a Community
by Joseph C. Parker, Esq., D. Min

Church Calendar

The online church calendar is continually being updated and is the best way to stay informed of our upcoming events. If you need additional information concerning an event, please contact the church office.

View Calendar

Worship Services

Sundays @ 8 a.m. - 9:15 a.m.
Contemporary Service

Sundays @ 10:30 a.m.
Morning Worship Service

Wednesdays @ 7:00 p.m.
Prayer and Praise Service

More Information

Contact David Chapel

phone: 512.472.9748
fax: 512.472.5399
email: info@davidchapel.org
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David Chapel M.B.C.
2211 E. Martin Luther King, Jr. Blvd
Austin, Texas 78702-1343

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Well Being Index and Services Survey

David Chapel Personal Areas of Concern Survey

Demographics

Part I: Well Being Index

Part II: Services

Holy Change

Church Calendar

Worship Services

Contact David Chapel