Men’s Questions

How old are you?

A. B. C. D. E. F.

0% 0% 0%0%0%0%

A. 20-29B. 30-39C. 40-49D. 50-59E. 60-69F. 70+

Countdown

10

How long have you been a believer?

A. B. C. D. E. F.

0% 0% 0%0%0%0%

A. I’m not a believer or not sure.

B. Less than 1 yearC. 1-4 yrs. D. 5-10 yrs. E. 11-20 yrs. F. 21+ yrs

Countdown

10

How long have you been married?

A. B. C. D. E. F. G. H.

0% 0% 0% 0%0%0%0%0%

A. I’m not marriedB. Less than 1 yearC. 1-3 yrs. D. 4-6 yrs. E. 7-10 yrs. F. 11-15 yrs.G. 16-20 yrsH. 21+ yrs

Countdown

10

On a scale of 1-10, how often do you struggle with your pride?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Never Only when Occasionally Frequently All of the necessary time

1. Never2. 3. Only when necessary4. 5. Occasionally 6. 7. 8. Frequently 9. 10. All of the time

Countdown

10

On a scale of 1-10, how comfortable are you with talking with your wife about anything?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Never Only when Occasionally Frequently All of the necessary time

1. Never2. 3. Only when necessary4. 5. Occasionally 6. 7. 8. Frequently 9. 10. All of the time

Countdown

10

On a scale of 1-10, how comfortable are you discussing your most personal issues with your wife?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Never Only when Occasionally Frequently All of the necessary time

1. Never2. 3. Only when necessary4. 5. Occasionally 6. 7. 8. Frequently 9. 10. All of the time

Countdown

10

On a scale of 1-10, how often do you feel frustrated with your family and just want to walk away or disengage?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Not At All Frequently All of the time

1. Not at all2. 3. 4. 5. Frequently6. 7. 8. 9. 10. All of the time

Countdown

10

On a scale of 1-10, how often do you feel frustrated and that you need an escape, but that there isn’t anywhere to turn?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Not At All Frequently All of the time

1. Not at all2. 3. 4. 5. Frequently6. 7. 8. 9. 10. All of the time

Countdown

10

On a scale of 1-10, how often do you feel trapped and that you can’t breathe?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Not At All Frequently All of the time

1. Not at all2. 3. 4. 5. Frequently6. 7. 8. 9. 10. All of the time

Countdown

10

How many of these do you have? (Facebook account, Twitter account, a blog, Smart Phone, texting

on a phone, YouTube channel)

A. B. C. D. E. F. G.

0% 0% 0% 0%0%0%0%

A. NoneB. 1C. 2D. 3E. 4F. 5G. All

Countdown

10

Where do you see women dressed immodestly the most?

A. B. C. D. E. F.

0% 0% 0%0%0%0%

A. MagazinesB. ComputerC. AdsD. Friends/strangers walking

byE. TV/MoviesF. Church

Countdown

10

How much time per day do you spend praying?

A. B. C. D. E.

0% 0% 0%0%0%

A. NoneB. 5-10 minutesC. 15-30 minutesD. 30-60 minutesE. More than 1 hour

Countdown

10

How much time per day do you spend reading the Bible?

A. B. C. D. E.

0% 0% 0%0%0%

A. NoneB. 5-10 minutesC. 15-30 minutesD. 30-60 minutesE. More than 1 hour

Countdown

10

How much time per day do you spend on the computer and/or gaming?

A. B. C. D. E. F.

0% 0% 0%0%0%0%

A. NoneB. 5-10 minutesC. 15-30 minutesD. 1-2 hoursE. 2-3 hoursF. 3+ hours

Countdown

10

On a scale of 1-5, often do you find yourself being angry?

1 2 3 4 5

0% 0% 0%0%0%

1. 2. 3. 4. 5.Never Sometimes Frequently

1. Never2. 3. Sometimes4. 5. Frequently

Countdown

10

How often are you on technology?

A. B. C. D. E.

0% 0% 0%0%0%

A. 1-2 hrs/dayB. 2-3 hrs/dayC. 3-4 hrs/dayD. 4-5 hrs/dayE. 5+ hrs/day

Countdown

10

Al’s Questions

How would you best describe your relationship with your Dad growing up…

A. B. C. D. E. F.

0% 0% 0%0%0%0%

A. I did not have a Dad growing up..B. My relationship with my Dad was/is

very painful…C. I had a Dad but he mostly was not

involved at any significant level in my life and we were not close…

D. My relationship with my Dad was not enough

E. My relationship with my Dad was enough

F. My relationship with my Dad was wonderful and deeply meaningful..

Countdown

10

I had deep meaningful conversation with my Dad

A. B. C.

0% 0%0%

A. Never B. SeldomC. Often

Countdown

10

The example that my Dad set before me as a man .. a Father .. a Husband, was:

A. B. C. D.

0% 0%0%0%

A. TerribleB. PoorC. AdequateD. Excellent Countdown

10

My Dad is still available as a Father… friend… counselor and Grandfather

A. B. C.

0% 0%0%

A. I cannot count on Him or turn to Him

B. SomewhatC. In a wonderful way Countdown

10

I had deep wounds from my lack of or the poor quality of my relationship with my Dad…

A. B. C.

0% 0%0%

A. Yes, and they are still present within

B. Yes, but I have found significant healing..

C. No, I was not wounded in my relationship with Dad..

Countdown

10

Evaluations

Dads, which session helped you the most?

A. B. C. D. E. F. G.

0% 0% 0% 0%0%0%0%

A. Wake up call of statisticsB. Authority skit C. Passive/aggressive

questions D. Proverbs 4 to read with

son E. Challenge to be alert F. How to become a warrior

for your sons G. “Failing forward”

Countdown

10

On a scale of 1-10, how helpful was the conference today for you?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Not At All Helpful Extremely

1. Not at all2. 3. 4. 5. Helpful 6. 7. 8. 9. 10. Extremely

Countdown

10

Dads, which session was the least helpful?

A. B. C. D. E. F. G.

0% 0% 0% 0%0%0%0%

A. Wake up call of statisticsB. Authority skit C. Passive/aggressive

questions D. Proverbs 4 to read with

son E. Challenge to be alert F. How to become a warrior

for your sons G. “Failing forward”

Countdown

10

On a scale of 1-10, how likely would you be to tell another Father/Son to attend this conference?

1 2 3 4 5 6 7 8 9 10

0% 0% 0% 0% 0%0%0%0%0%0%

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.Not At All likely definitely

1. Not at all2. 3. 4. 5. likely6. 7. 8. 9. 10. definitely

Countdown

10

Which would you be more likely to attend a conference on a Friday night and Saturday for?

A. B. C. D.

0% 0%0%0%

A. Men onlyB. Father/Son C. Both D. Neither

Countdown

10

Which conference topic would you be most interested in?

A. B. C. D. E. F. G.

0% 0% 0% 0%0%0%0%

A. anger B. communication with my wife C. communication with my

children D. how to conquer the

temptations in my lifeE. how to mentor and be

mentored F. finances God’s wayG. Accountability groups

Countdown

10

Which conference topic would be your second choice?

A. B. C. D. E. F. G.

0% 0% 0% 0%0%0%0%

A. anger B. communication with my wife C. communication with my

children D. how to conquer the

temptations in my lifeE. how to mentor and be

mentored F. finances God’s wayG. Accountability groups

Countdown

10

Thank you for your participation. Please turn in your keypad before leaving

today.