* Name:

Role:

Congregation:

City, State:

Phone Number:

* Email:

I have read the book.
I have attended the seminar.

1. I am still at the same congregation where I was when I attended your Raising the Roof seminar. (seminar attendees)

Yes
No

2. I have led a congregation (same or different) through some or all of the Chapter 4 exercises from the book.

Yes
No

If you answered yes, please describe that congregation's:

- Setting:

City
Built-out Suburb
Growing Suburb
Town
Rural
Other

- Church Growth History (since 1975):

Net Decline
Net Growth
Same size as in 1975

3. If you led a church through some or all the exercises, did the work result in a written plan presented for adoption to the board or congregation?

Yes
No

4. Were any recommendations adopted by the board or congregation?

Yes
No

5. Were any of the recommended steps actually implemented?

Yes
No

6. Since you started this process, has the congregation grown in clarity of call or energy for ministry?

Yes
No

7. Has the congregation grown numerically? (average weekend attendance, all ages)

Yes
No

If yes, how much?

From (in the year of )
To (in the year of )

These numbers are:

My estimate
Averages calculated from records

8. Would you be willing to provide fuller case information upon request?

Yes
No