St. Irenaeus
Adult Formation
LEARNING NEEDS AND INTERESTS

We want to serve you better and meet your needs. Please take a few minutes to fill out this questionnaire if you are 18 years or older. It will help St. Irenaeus's Adult Formation Team plan programs to meet the specific needs and interest of our adult parishioners. Please feel free not to answer any questions you consider too personal.

General Information: Name________________________ Address__________________________________________

City ________________________________ Zip __________ Telephone ( ) ___-____

Sex: Female ___ Male ___ Marital Status: Single ___ Married ___ Separated ___ Divorced ___ Widowed ___

Age: 18-35 ___ 36-49 ___ 50-65 ___ Over 65 ___

Ethnic Background:______________

Topics: Please rate your level of interest by indicating to what degree you would participate in a program focusing on that topic.

Circle the appropriate number, using this key as a guide:
1--No interest; 2--Some interest, might attend;
3--Interest, probably would attend; 4--High interest, definitely would attend.

1.Scripture Study 1 2 3 4 14. Substance Abuse/Addictions? How do I cope? 1 2 3 4
2. Catholic Update on Teachings of the Church 1 2 3 4 15. Comparative/ world religions 1 2 3 4
3.The Sacraments 1 2 3 4 16. Breaking down ethnic religions 1 2 3 4
4. Prayer 1 2 3 4 17. Mom's sharing group - Mom's and Tots group 1 2 3 4
5. Changes in the Church 1 2 3 4 18. Mid-Life Crisis 1 2 3 4
6. Christian Parenting 1 2 3 4 19. Conscience Formation 1 2 3 4
7. "Raising 'PG' kids in an 'R' rated world 1 2 3 4 20. Survival skills for being a Christian in the world today. 1 2 3 4
8. Values in the media 1 2 3 4 21. Family communication 1 2 3 4
9. Marriage Enrichment 1 2 3 4 22. Business ethics 1 2 3 4
10. Separation, Divorce & Remarriage 1 2 3 4 23. Medical ethics 1 2 3 4
11. The Aging Process 1 2 3 4 24. Euthanasia 1 2 3 4
12. Making a career change 1 2 3 4 25. Justice and peace issues 1 2 3 4
13. Decision making/Discernment 1 2 3 4 26. Making moral decisions 1 2 3 4
27. Other topics of interest ________________________

Learning Methods: Which ways of learning do you prefer? (Please check one or more.)
1. Lecture ____ with a question-and-answer period ____ time for small-group discussion
2. ___Small group discussion format ___ with a study guide ___ with video/film
3. ___ Independent study program
4. ___ Faith sharing group format

Day and Time: Check the two most convenient times for you to attend a program.
Day Morning Afternoon Evening Length of Session Location (Parish or Home)
Monday 1, 2 or 3 hours/other
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Please Check if you need: Transportation ___ Child care ___

Comments and Suggestions:
____________________________________________________________________________________________
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THANK YOU for taking the time to answer this questionnaire!
Please print out this document and return to: The Parish Office or School Office
5201 Evergreen Ave. Cypress, CA 90630
Fax (714) 826-1608
E-mail: parish@sticypress.org.

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Last updated on 03/28/08
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