In this study we compare the spiritual well-being and need of healthy and ill parishioners, creating data that pastors can use as background in assessing pastoral need within their parishes. Three questionnaires generate the data, and the results demonstrate increased need of parishioners in the hospital. Specifically, women hospitalized for problem pregnancies demonstrate statistically more need than healthy parishioners, and these data suggest that pastors should assess their needs carefully. A group of patients who fight their metastasized cancer create scores statistically similar to healthy parishioners. Demographic variables also have an impact on spiritual well-being and need, particularity the parishioner's age and level of education.