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Visitation Results Card
Follow-up info from homes we visit on Evangelism Saturdays
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Your Names
*
Your answer
Street Address
*
Your answer
Did anyone answer the door?
*
Yes
No
Other:
Homeowner Name(s)
Your answer
Did they allow you to pray?
Yes
No
Other:
Clear selection
If yes, any specific requests?
Your answer
Did they ask for help?
Yes
No
Other:
Clear selection
If yes, what do they need?
Your answer
Follow up phone number?
Your answer
Did you share the gospel?
Yes
No
Other:
Clear selection
Additional Notes:
Your answer
Option 1
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