Parish Survey

Please complete one per family

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Married? REQUIRED Yes No Please fill out this field.

Spouse Name Please enter valid data.

Children? REQUIRED Please fill out this field.

Number of Children Please enter an integer (number).

On average, how often do you attend Mass? REQUIRED Please fill out this field.

How long have you been attending Mass at the Basilica REQUIRED Please fill out this field.

How far do you drive to get to Mass? REQUIRED Please fill out this field.

How is your current understanding of the Eucharist (Communion)? REQUIRED Please fill out this field.

In what ways can we as a Parish help meet your physical needs? Driving/Need a ride Homeschooling/Tutoring Counseling/Someone to talk to Childcare Meals/Buying Groceries Physical Labor/Yard Work/Cleaning Other

If other, please specify Please enter valid data.

In what ways can the Church meet your Spiritual needs? More catechesis More fellowship opportunities More volunteer opportunities Other

If other, please specify Please enter valid data.

In what ways do you think our Parish could change/improve?

Are there any ways you would like to serve your Parish members?

The Basilica of Saint John

Des Moines, IA

Parish Survey