Please provide the following contact information:

Name
Phone
E-mail

Which Chalice Circle are you facilitating? (For example, "Wednesday, 7 p.m. at church.")

How many people attended your last session?

Have any current members dropped out or have any new members joined? If so, please list their names.

Have you called or checked in on anybody who was absent without explanation?

Yes, I have.
I haven't yet, but I will.

In general, how did you session go?

Very good Good Average Some problems Lots of problems

Any specific comments about how well it went? This could include comments ranging from general logistics to the topic to group dynamics.

Are any participants experiencing life transitions which Reverend James, the lay ministers, or the Caring Team should know about?

During the check in or during the discussion of the topic and questions, did any topics come up that you think might be interesting topics for future sermons or Chalice Circles?

Is there anything else you want to add?

Would you like Reverend James to contact you about your Chalice Circle?

Yes, please contact me about my Chalice Circle.