A: Our Mission Priorities for 2010 – 2020

1a. Together, do you think the statements outline the main areas that the church should prioritise in the next 10 years? ■ Yes ■ No

1b. If not, what is missing

resp

ons

e fo

rm

planning for growth in the urc

E: Your details

Name and address of your church:

Name of synod your church is part of:

How did you do the consultation exercise? Please tick:

■ By holding a special session■ During Elders or Church meeting■ During/after Pentecost service■ Church leader filled out the form

Name of person filling out this form:

Would you be happy for us to contact you about this form? ■ Yes ■ No

If yes, please add your contact telephone number and/or email.

Telephone number:

Email address:

Please put any additional answers or comments on a separate sheet.

When complete, please return this form to: Secretary for Mission, The United Reformed Church, 86 Tavistock Place, London WC1H 9RT

questionnaire 24/4/09 16:19 Page 1

2a. Do you have any particular concerns about any of the statements? ■ Yes ■ No

2b. If so, please indicate (by number or heading) which statement(s) concern(s) you and what those concerns are.

2c. Are there words, phrases or ideas that are unclear or need to be challenged? Please, describe.

3. What do you think about some of the ideas we have suggested that will tell us if we are onthe right track?

4. Do you have a story to tell of how you have chosen some of these priorities already andwhat you have achieved as a result? If so, briefly describe below.

B: Local Mission Pledge

1. Do you think that making Local Mission Pledges would help your church to clarify its priorities? ■ Yes ■ No ■ Don’t know

2. Do you agree that such pledges will help synod and Assembly staff plan the kind of support they can offer local churches? ■ Yes ■ No ■ Don’t know

3. What kind of support or guidance might your church need in developing a Local MissionPledge? Please tick:

■ Someone to help ■ Training for the minister/elders■ Clear written guidelines ■ Other (please specify) ■ Don’t know

4. How and when do you think it is best for Local Mission Pledges to be gathered? Please tick:

■ With Ministry and Mission contributions – annually■ With church annual return■ As part of the Local Mission and Ministry Review – biannually■ Other (please specify)■ Don’t know

C: Is there anything else you want to tell us?

D: How did you feel about doing this consultation exercise? Was it helpful?

questionnaire 24/4/09 16:19 Page 2