Spiritual Questions Survey

(this test is designed for use on college campuses but could be easily altered for other use)

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: __________________________________________

Street: __________________________________________

City, State, Zip: ___________________________________

 

Phone: __________________________________________

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