First Name:                Last Name:                1- Will you attend the meeting on July 25th?:                   yes:    no:   2- Would you be willing to be part of a community group beginning this fall?:                   yes:    no:   3- If the answer to number 2 above is NO, would you be willing to be a part of a community group at some point in the future?: yes:    no:   4- Would you be willing to lead a community group?:                   yes:    no:   5- In an ideal world, when would your community group meet?:     6- Would you prefer to meet weekly or every other week?:                   weekly:    every other week:   7- What type of group would you be interested in?  (check all that apply): Co-Ed    Men's    Women's    Marrieds  Singles    Other  8- If you checked other above, please describe the type of group you are interested in below:   9- Additional Comments: