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Burning Hearts Survey

Burning Hearts Survey: Prayer

The Burning Hearts Survey is a no pressure, get-to-know-you questionnaire that helps us learn about:
  • your family and background,
  • your hobbies and interests,
  • your learning styles,
  • your relationship with your parish, and
  • your schedule and the amount of time you have each week to to work on faith growth.
The results will help give you an overview of where you are and identify which prayer resources are right for you. The Burning Hearts Survey has 4 parts: Basic Information, Faith Background, Your Learning Styles, and Your Prayer Life and takes approximately 15 minutes to complete.
Directions: Answer the questions to the best of your ability. You will not be able to move on to the next section until you have answered all of the required questions in the current section. Required questions are marked with a ( * ).

To navigate, use the PREV and NEXT buttons in the survey rather than your browser's BACK button.

When you've completed the survey, click the SUBMIT button and have your results sent to a Burning Hearts Disciple who will send you a free list of recommended resources to help you improve your prayer life personalized based on your survey results. Survey results are generally processed within 1-2 days.
If you would prefer to fill out a paper copy of the survey or have any questions, please contact us at info@burningheartsdisciples.org or (920) 509-0204.



Section 1: Your Prayer Life




On average, how often do you communicate with God?

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How often is prayer a deep and meaningful experience for you?

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In my leisure time…

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When I wake up…

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How often do you read the Bible?

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What time of day do you have the best prayer?

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What do you pray about? Please rate the frequency you pray about each of the areas listed below.


My needs and those of my family and friends

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Praising God and thanking Him for all He has done

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Examining my conscience and expressing contrition for my sins

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My family and extended family to follow the Lord

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The Church (leaders, priests, ministires, fellow church members)

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Our nation's government

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Peace and justice in the world

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Eucharistic Adoration

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The rosary

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Novenas or other prayers to the Saints

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Lectio Divina or other prayer with Scripture

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If you have children, describe how often you pray with them and what kind of prayer you do:

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If you have a spouse or significant other, describe how often you pray with him/her and what kind of prayer you do:

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How satisfied are you with your prayer life?

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How satisfied do you think God is with your prayer life?

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Please describe your current prayer life:

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Any additional comments you have about your prayer life?

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Section 2: Faith Background




I most strongly identify as:

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Which statement best describes your Mass attendance?

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Please describe your Mass attendance:

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Where do you usually go to Church? (Include the name of church and city if known)

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I have received the following sacraments (check all that apply):

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How would you describe your relationship with Jesus?(check all that apply)

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Select the statements below that best describe you. (check all that apply)















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Describe your faith formation background (check all that apply):

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Describe your other faith formation background:

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Any other comments you'd like to share about your faith?

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Section 3: Your Learning Styles




What is the highest level of education you have completed?

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Please specify:

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What kind of book would you read for fun?

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When you are not sure how to spell a word, what are you most likely to do?

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You're waiting in line to pay at the grocery store. What are you most likely to do while you are waiting?

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When you see the word "cat," what do you do first?

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What's the best way for you to learn how to do something new (like put together a shelf or a new computer program)?

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If you are trying to focus on something, which would be the most distracting?

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When in a new place, how do you find your way around?

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What do you do to relax? (check all that apply)

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When you give someone directions to your house, what are you most likely to tell them?

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Do you have any barriers to or struggles with learning? (ie. dyslexia, ADHD, etc)

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What are your prefered learning formats? (check all that apply)

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Please specify:

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Section 4: Basic Information




First Name(*)

Please provide your First Name.

Last Name(*)

Please provide your last name.

Email Address(*)

Please enter a valid email address

Prefered Method of Contact (check all that apply):(*)

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Phone Number

Please enter a valid phone number with area code xxx-xxx-xxxx

Street Address

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City

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State

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Zip Code

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Please specify:

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Age(*)

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Gender(*)

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Family Life (check all that apply)

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Please specify:

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Was your marriage annulled?

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Please tell us the ages of all the children in your household. (check all that apply):

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Employment Status

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Which of the following categories best describes your primarily area of employment (regardless of your actual position)?

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Send your survey to Burning Hearts



Contact Us.

  • Write us.

    941 Starboard Ct.
    Oshkosh, WI 54901
  • Call us.

    (920) 509-0204
  • Email us.

    info@burningheartsdisciples.org
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  • Burning Hearts Disciples is a tax exempt 501(c)(3) and an Approved Lay Catholic Organization of the Diocese of Green Bay.

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