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The Love Thy Neighbor Survey
Spiritual Evaluation Tool
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Email
*
Your email
We'd like to be able to follow-up with you. At the end of the survey, please indicate, if we may do so. Either way, please let us know how we can pray for you. Thank you.
What is your spiritual background or faith affiliation?
*
Choose
Agnostic
Atheist
Catholic
Christian (indicate denomination below)
Buddhist
Hindu
Islam
JW
LDS
Jewish
Other
If you answered other, or indicated Christian, in question #1, please fill in the blank below.
Your answer
Do you attend any sort of worship services?
No
Yes
Clear selection
How often do you attend worship services?
Daily
Weekly
Monthly
Occasionally
Seasonally (Christmas, Easter, Rosh Hashanah, Yom Kippur, New Moon, etc.)
Clear selection
Do you believe in a literal Heaven & Hell?
*
Yes
No
Maybe
Not sure
What determines where you go?
Your answer
Where to do you think you will go? and Why?
*
Your answer
Have you ever heard of the term "Gospel?" And what do you think it means?
Your answer
Do you know what it means to be "Born Again?"
*
Yes
No
Maybe
Not sure
If you answered "yes," where are you currently on your spiritual journey?
Fallen Away
1
2
3
4
5
Walking Strong
Clear selection
If you answered "no," would you like to know what it means to be "born again?"
Yes
No
Maybe
Clear selection
If you answered "yes," or would like someone to speak with you about your current spiritual state, how would you like us to contact you? If phone, please indicate number.
Telephone
Email
Other:
Clear selection
Lastly, do you have any prayer requests? How can we pray for you?
Your answer
Next
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