Your Honest Opinion of the Church - A Focus Group Discussion

Page One

We are looking for individuals to participate in a focus group discussion to share their honest opinions about church, Christianity and living in the Nashville community. People from all walks of life are needed and invited to participate. And, free dinner will be provided to all participants!

The focus group will be held on Monday, March 25 at 7 p.m. Only complete this form if you are able to attend at this time.

All participants names will be kept confidential. However, we will be video taping the focus group, so participants must sign a video release form. The focus group will be one hour long and we will provide a free dinner for participants. If you are interested, please complete this form and we will contact you about participating. Thank you!

1. Name (used to contact you only): *This question is required.

2. Email: This question requires a valid email address.

3. Phone number:

7. What is your religious background/affiliation (i.e. Chrisitian, Jewish, Muslim, etc.)? In other words, what is your religious belief?

8. How long has it been since you've attended church or another religious activity?

9. The focus group will be held on Monday, March 25 at 7 p.m. at Rocketown in Nashville. Will you be able to attend?