CLASS: XTIANEDU 705 (2011)

Thank you for completing this survey. Please be honest. Your responses are anonymous. To print a blank copy of this survey, click here.

Please identify the person asking you to complete this survey.

What is your age?

What is your current grade level (the grade you will be entering in the Fall)?

What is your denomination?

What is your race or ethnic identity?

What is your sex?

In the past 12 months...

	More than once a week	Once a week	2-3 times a month	Once a month	Many times a year	Few times a year	Never	N/A
I attended community worship

I attended other Christian organizations or activities (for example, Young Life, Campus Ministry, Small Group Bible Study, etc.)

I participated in leadership in my home religious community

I prayed by myself, alone

I read Scripture

I practiced a weekly day of rest or Sabbath

I fasted or denied myself something as a spiritual discipline

I read a devotional, religious, or spiritual book other than the Bible

I shared my religious faith with someone not of my own faith

I attended a religious Sunday School or religious education class

I gave my own money to organizations or causes (including church)

I played or sang in a religious music group or choir

I served the poor, sick, or elderly

I talked about religion with my family