This printable church survey template gives your congregation a simple way to share feedback from the pew, with one worship rating grid, one activity interests question, and one open comment box across a single page. It prints on one sheet and takes about two minutes to complete.
What this survey measures
The survey captures how connected and cared for your members feel. The rating grid covers whether people feel welcomed, whether services and sermons feel meaningful and relevant, how the music shapes worship, and how strong their sense of community is. A follow-up question shows which ministries and activities members want to join, and the open comment box invites ideas for serving the congregation and the wider community better.
How to use it on paper
Place copies in the pews or hand them out at the door as members arrive, and set a collection box at the back of the church. Members fill the checkboxes with a blue or black pen and drop the form in the box on their way out. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the handwritten comments to text automatically, so results appear in your dashboard with no manual data entry.
Customize this template
Add your church logo, reword the statements to match your congregation, or add questions about specific programs, service times, or age groups. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start gathering feedback from your congregation today.