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Spiritual Survey
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Date
MM
/
DD
/
YYYY
Who asked you to do this survey?
Your answer
Do you believe that God exists? How do you know?
Your answer
How can God be described?
Your answer
From where do you get your information?
Your answer
Is the Bible an authority in your life?
Yes
No
Clear selection
Can the Bible be used to address issues today?
Yes
No
Clear selection
Is the Bible God’s revelation about Himself & His will for mankind?
Yes
No
Clear selection
What’s wrong with the world and how did it get that way?
Your answer
What is man’s purpose? What is man’s greatest need?
Your answer
What is your understanding of sin? Are there any consequence?
Your answer
Who is Jesus Christ and what did He do?
Your answer
If you died today where would your soul go?
Heaven
Hell
I don't know
Reincarnation
Clear selection
On a scale from 0-10 with (0 = pure evil) & (10 = perfectly “holy”), what’s the standard to enter heaven?
0
1
2
3
4
5
6
7
8
9
10
Clear selection
If you go to church, where do you attend?
Your answer
May we contact you further about your answers?
Yes
No
Clear selection
First Name
Your answer
Last Name
Your answer
Email
Your answer
Phone #
Your answer
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