VISION IMPAIRMENT QUESTIONNAIRES
RIGHT EYE VISION: A Church's View of Itself
Instructions: Answer each of the following questions as truthfully as possible. Mark your answer, either Yes or No in the appropriate boxes.
R1. _____Yes _____No
Is there general unity in my church regarding both short-term and long-term goals?
R2. _____Yes _____No
Does my church have a written vision statement specifically stating short-term goals?
R3. _____Yes _____No
Do most of the leaders in my church feel they are serving in a position that utilizes their spiritual gifts?
R4. _____Yes _____No
Do I know the specific goals of my church for the next ten years?
R5. _____Yes _____No
Does our pastor have a clear vision for the future of our church that is shared by
other leaders in our church?
R6. _____Yes _____No
Do most of the members of my church have a good understanding of basic
discipleship?
R7. _____Yes _____No
Can I quickly think of one or more individuals whose lives have been dramatically
changed through the ministry of my church in the last year?
R8. _____Yes _____No
Does my church focus more on the future, less on the past?
1. Number of check marks in the No column ________
2. Multiply check mark count by 10________
3. Add 20 to total in line 2 above. This is the visual acuity score for your church's right eye. ________/20
LEFT EYE VISION: A Church's View of Itself
Instructions: Answer each of the following questions as truthfully as possible. Mark your answer, either Yes or No in the appropriate boxes.
L1. _____Yes _____No
Do you know God's spiritual purpose and plan for your community?
L2. _____Yes _____No
Do you know how God sees your community?
L3. _____Yes _____No
Do you know the history of God's people in your city?
L4. _____Yes _____No
Do you know the pastors, intercessors and spiritual fathers of your city?
L5. _____Yes _____No
Do you know how to define "your church's community"?
L6. _____Yes _____No
Do you know the top five ethnic groups in your community and what percentage of your community they represent?
L7. _____Yes _____No
Do you know what percentage of your community is unchurched?
L8. _____Yes _____No
Do you know the projected population of your community in the next 2 years, 5 years and 10 years?
1. Number of check marks in the No column________
2. Multiply check mark count by 10________
3. Add 20 to total in line 2 above. This is the visual acuity score for your church's left eye. ________/20
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