Church Membership Exit Survey
Personal Information
Full Name
Email Address
Years as Member
Involvement (ministries, roles)
Exit Information
What is your primary reason for leaving?
Relocation
Personal Reasons
Doctrinal Difference
Leadership/Staff
Community/Connection
Programs/Ministries
Other
Would you like to elaborate on your reason for leaving?
What could we have done better to support you?
Would you consider rejoining in the future?
Yes
Maybe
No
Any other comments or suggestions?