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SPIRITUAL QUESTIONS SURVEY
1. What is your year in school?
[] Freshman [] Sophomore [] Junior [] Senior [] Graduate Student
[] Other
2. What is your major?
_________________________________________________
3. Have you taken any courses on religion in college?
[] Yes
[] No - If yes, what were the courses:
______________________________________________________
4. Of what religious group do you associate yourself with?
[] Catholic [] Protestant
[] Jewish [] Muslim [] Hindu
[] Agnostic [] Atheist
[] Jehovah's Witness [] Mormon
[] 7th Day Adventist [] Unitarian
[] Pentecostal [] Charismatic
[] Baptist [] Presbyterian []
Episcopal [] Methodist
[] Eastern Orthodox [] Reformed [] Inter-Denomination [] Non-Denominational
[] None [] Other _____________________________________
5. How often do you attend religious services?
[] Daily [] Yearly [] Weekly [] Occasionally [] Monthly [] Holidays
[] Never
6. Have you reached the place in your spiritual life where
you know for sure that you have eternal life?
[] Yes [] No [] Not sure [ ] Don't believe in eternal
life
7. If you were to die tonight and stand in the presence of
God, and He were to ask you, "Why should I let you into my Heaven?",
what
would you say?
8. Would you be interested in hearing what the Bible has to
say
about how we get into Heaven? [] Yes [] No
9. Would you be interested in:
[] Receiving a church newsletter [] An audio CD explaining the 2 roads of life
[] A free Bible [] The Bible on
CD (MP3 format) [] Ride to church services
[] More information about the Bible and the Christian
Faith
[] Other: ____________________________________________________________
10. Please list your name and address if you checked any of
the above:
Name: ________________________________________
Box: ________________________________________
Phone: _______________________________________
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