[contact-form to=’info@fbcpikeville.org’ subject=’New WINGS survey from fbcpikeville.org’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Date of Birth’ type=’text’/][contact-field label=’Anniversary’ type=’text’/][contact-field label=’Marital Status’ type=’select’ options=’Single,Married’/][contact-field label=’Spouse Name’ type=’text’/][contact-field label=’Children’ type=’text’/][contact-field label=’Ages’ type=’text’/][contact-field label=’Christian Birthday’ type=’text’/][contact-field label=’Are you a memeber of FBC Pikeville?’ type=’checkbox’/][contact-field label=’If so%26#x002c; how long?’ type=’text’/][contact-field label=’Are you Harbor of Hope trained and approved?’ type=’checkbox’/][contact-field label=’Email Address’ type=’email’ required=’1’/][contact-field label=’Home Address’ type=’textarea’/][contact-field label=’Home Phone’ type=’text’/][contact-field label=’Mobile Phone’ type=’text’/][contact-field label=’Best way to reach you and time?’ type=’textarea’/][contact-field label=’Would you help with childcare for special events?’ type=’checkbox’/][contact-field label=’Would you consider teaching a Bible Study?’ type=’checkbox’/][contact-field label=’Are you comfortable praying before a group?’ type=’checkbox’/][contact-field label=’If you are a single Mom%26#x002c; would you attend/help with a single Mom%26#039;s ministry?’ type=’checkbox’/][contact-field label=’What are you looking for in Woman%26#039;s Ministry?’ type=’textarea’/][contact-field label=’Would you be interested in visiting and working with shut-­ins?’ type=’checkbox’/][contact-field label=’Would you help teen girls with events%26#x002c; fellowships and mission service opportunities?’ type=’checkbox’/][contact-field label=’Would you attend or desire basic skill classes such as crafts%26#x002c; sewing%26#x002c; knitting%26#x002c; cooking%26#x002c; or parenting skills?’ type=’checkbox’/][contact-field label=’Would you instruct/teach such a class?’ type=’checkbox’/][contact-field label=’Is so%26#x002c; what?’ type=’textarea’/][contact-field label=’Would you share your talents in any of these areas/or be willing to facilitate such an activity?’ type=’checkbox’/][contact-field label=’Please share things you feel God has put on your heart that you could do to help in Women’s Ministry?’ type=’textarea’/][contact-field label=’Do you see a need for a Women’s Mentoring Program?’ type=’checkbox’/][contact-field label=’If so%26#x002c; would you consider being a Mentor?’ type=’checkbox’/][contact-field label=’What are your immediate needs?’ type=’textarea’/][contact-field label=’Do you have a prayer concern that the Leadership Team could be praying for?’ type=’textarea’/][/contact-form]