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Survey of Christian Life Church (CLC)
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How did you hear about our church?
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Internet Search
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What is your age?
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Less than 13
13-18
19-25
26-35
36-50
Over 50
Prefer not to say
Would you like a visit from the pastor?
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Yes I would like a visit
No I would not
Maybe at later date
I would rather set an appointment with Pastor in his office
Would you like to be added to pastor's daily email?
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No
Would like more information
What area of ministry are you most needing right now?
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Personal discipleship
Children discipleship (youth, children or nursery)
Famiy discipleship (couples, family counseling, or family missions work)
None of the above
What kind of service did you attend?
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Sunday morning or evening
Weekly Service (ladies, youth)
Family Fun function (movie night or school festival)
Monthly Group (couples, men, or seniors)
Is there any problem you have with CLC
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Name
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Last
Phone Number
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Address
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City
State
Zip Code
Country
Email (we will not contact you unless you request it)
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What are some areas CLC met your Expectatons
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Do you have any prayer needs?
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Comments you would like to make to pastor
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