Special Needs Ministry Survey
Please fill out this form and click submit.
Thank you in advance for completing the Special Needs Ministry Survey at St. John Paul II Catholic Church. Please take some time to share a little about your child or adult with special needs.
Today's Date
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Name
*
Email
*
This address will receive a confirmation email
Phone
*
Do you have a child or adult with special needs? If no, you do not need to proceed further with the survey. Thank you.
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Please select one option.
Yes
No
No, but I would like to help
If you feel comfortable sharing, please tell us your child/adult age and diagnosis so that we may better accommodate your needs.
Do you feel comfortable attending Mass on a regular basis?
Please select one option.
Yes
No
It is too hard with my child/adult
OTher
If attending Mass is challenging, what can we do to help make you feel more welcomed and comfortable?
If not attending Mass, would a special room or safe place within the church help you return/attend Mass?
Please select one option.
Yes
No
Other
Has your child/adult received sacraments?
Please select one option.
Yes
No
Maybe
If not, are you interested in your child/adult receiving their sacraments?
Please select one option.
Yes
No
Maybe
What sacraments has your child/adult received?
*
Please select all that apply.
Baptism
First Reconciliation
First Holy Communion
Confirmation
What activities would you like to see at St. John Paul II Catholic Church for your child/adult? Mark all that apply
Please select all that apply.
Buddy Program
Church Ministries
Respite Care
Serving at MAss as an usher, greeter, and/or collections
Special Olympics
Sunday afternoon donuts
Track and Field Activities
Would you be interested in having guest lectures on special needs topics?
Please select one option.
Yes
No
Option
Please share topics important to you and your family
Thank you for completing this survey and helping us meet the needs of our parish family. Please share any additional comments or concerns below. The Special Needs Ministry meets monthly. Please join us on the second Monday of each month at 6:30 PM in the Church Chapel. All are welcome.
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