Self Reflection Survey

1

I intentionally make space for silence, solitude, and contemplative practices to deepen my awareness of God.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

2

My engagement with Scripture goes beyond information gathering to personal transformation and encounter with God.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

3

I am developing and practicing sustainable spiritual rhythms (like a "Rule of Life," Daily Office, or consistent Sabbath) that nourish my soul.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

4

I find my primary identity and worth in being a beloved child of God, rather than in my achievements or what others think of me.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

5

I am open to the Holy Spirit revealing areas in my life that are not aligned with Christ, even if it leads to discomfort or the need for significant change.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

6

I actively seek to obey God's commands, understanding that obedience flows from a love relationship with Him.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

7

I can clearly identify and articulate my own feelings, thoughts, and desires without being overwhelmed by them.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

8

I am growing in my understanding of how my family of origin and past experiences shape my current reactions, beliefs, and relationships.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

9

I actively work to address and break free from unhealthy or sinful patterns inherited from my past.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

10

I allow myself to fully experience and process grief and loss, seeing them as opportunities for deeper faith and transformation.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

11

I can maintain my own convictions and sense of self when facing pressure from others to conform.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

12

I am comfortable acknowledging my weaknesses and vulnerabilities, and I see them as opportunities for God's strength to be displayed.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

13

I actively demonstrate love (patience, kindness, humility, forgiveness) towards others, especially those within the community of faith.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

14

I can set and maintain healthy boundaries in relationships, saying "yes" and "no" appropriately out of love for God, myself, and others.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

15

When conflict arises, I engage constructively, listen to understand, speak truth with grace, and actively work towards reconciliation.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

16

I can celebrate the successes of others genuinely and offer support during their struggles without envy or comparison.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

17

I am committed to a local church community where I practice mutual accountability and build others up with my spiritual gifts.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

18

I value and seek to understand people from different cultural, ethnic, or socio-economic backgrounds than my own, reflecting God's heart for all people.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

19

I embrace limits and human frailty as part of God's design, rather than constantly striving for an unattainable "perfect" or "limitless" existence.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

20

When facing trials, suffering, or disappointment, I lean into God's presence and promises, seeking to learn and grow through the experience.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

21

I am developing discernment to distinguish between God's wisdom and the prevailing values of the culture around me.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

22

I practice self-control in my thoughts, words, appetites, and use of resources (time, money, technology).* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

23

I actively look for opportunities to share my faith and invest in the spiritual growth of others.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

24

I see my daily activities (work, family, interactions) as integral parts of my discipleship and witness for Christ.* This field is required.

Rarely / Never

Sometimes / Occasionally

Often / Frequently

Consistently / Almost Always

25

Calculation

26

What church or community do you belong to?

Calvary Chapel

27

Infant Disciple
Focus for Growth: Building foundational habits of connecting with God (simple prayer, Scripture reading), beginning the journey of emotional self-awareness (e.g., naming feelings), and finding a safe community or mentor.

28

Child Disciple
Focus for Growth: Establishing more consistent spiritual disciplines, intentionally exploring emotional health resources, practicing basic relational skills (active listening, "I" statements), and seeking accountability.

29

Adolescent Disciple
Focus for Growth: Deepening contemplative practices, consistent application of emotional health skills in challenging situations, seeking to understand and engage with those different from themselves, and taking more initiative in serving and discipling.

30

Parent Disciple
Focus for Growth: Continued deepening of intimacy with God, mentoring and equipping others for mature discipleship, engaging in challenging areas of mission and justice, and maintaining humility and a teachable spirit.

31

Elder Disciple
Focus for Growth: Lifelong learning and deepening intimacy with God, pouring into the next generation of leaders, speaking prophetically with love and wisdom, and finishing their race well, always pointing others to Jesus.