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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
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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