This study aims to determine longitudinal relationships between dimensions of physical health and physical illness, mental health and mental illness, and spiritual well-being and struggle, among clergy in the context in which they work.Two additional waves of the clergy health panel survey will be conducted and data will be combined with the first 11 years of data collection. In addition, rapid response studies will be conducted in response to new ideas. Findings will be disseminated to academic and clergy occupational audiences.