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Celebration On The Lake Church
Wellness Survey
Greetings from Celebration On The Lake Church! Please complete the following survey to let us know how you are doing?
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* Indicates required question
Email
*
Your email
Are you a member of COTL Church
*
Yes
No
Maybe
Last Name
*
Your answer
First Name
*
Your answer
Do you have regular contact with members of COTL Church?
*
Yes
No
Maybe
Would you like to have regular contact with members of COTL Church?
*
Yes
No
Maybe
Do you need help with basic needs such as groceries, prescriptions, transportation, etc.?
*
Yes
No
Maybe
Would you like to participate in online game nights?
*
Yes
No
Maybe
Required
Do you have any specific prayer requests?
*
Yes
No
Other:
If you chose, "Yes" for a specific prayer request, you may write it in the space below. Prayer requests from this survey will be passed on to COTL leadership. You may also submit a prayer request by calling the church phone number, (682-269-8363
Your answer
If you know of other members of COTL Church who need to be contacted by our survey team, please give us their names below. Ask them to call the church phone (682) 269-8363 to confirm their desire to be contacted.
Your answer
What is the best way to contact you in the future?
*
Email
Phone
Text
Other:
Is there anything else that you would like for us to know in order to stay connected and serve you better during this challenging time?
Your answer
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