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RCIA INQUIRER (adults)
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Your Full Name: First, Middle, Last
Your answer
Maiden name (if applicable)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Age
Your answer
Place of birth (include city, state, country)
Your answer
Name of Father
Your answer
Name of Mother
Your answer
Full mailing address
Your answer
Daytime phone number
Your answer
Evening phone number
Your answer
Cellphone number (if different than above)
Your answer
Email address
Your answer
Occupation
Your answer
RELIGIOUS HISTORY
Please answer the following questions
What, if any, is your present religious affiliation?
Your answer
Have you ever been baptized?
Yes
No
Not sure
Clear selection
If yes, in what denomination were you baptized? (Catholic, Baptist, Lutheran, etc.)
Your answer
Option 1
Clear selection
MARITAL STATUS
Please answer the following questions about your marital status
Choose one of the following options:
I have never been married
I am engaged to be married
I am married
I am married but separated from my spouse
I am divorced and I have not remarried
I am divorced and have remarried
I am a widow/widower
Clear selection
Option 1
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GENERAL QUESTIONS
Please answer the following general questions
What or who has led you to want to know more about the Catholic faith?
Your answer
Please describe the types of religious education you have received, if any, as a child and as an adult.
Your answer
What contact have you had with the Catholic Church to date?
Your answer
What are some of the questions or concerns you have about the Catholic faith?
Your answer
Which of the following statements best describes your present feelings and thoughts about the possibility of joining the Catholic Church?
I need much more information about the Catholic Church before I would consider joining.
I am considering joining, but I am still unsure about it.
I am fairly sure that I would like to become Catholic, but still need some time to study and pray about it.
I am fairly sure that I want to join the Catholic Church.
Clear selection
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