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First name
*
Last name
*
Phone
Email
On a scale of 1 to 10 how badly do you need God to so something in your life?
Do you believe there is a God?
Yes
No
Do you believe that a personal relationship with God can improve a person's life?
Yes
No
Do you believe that you can know God in some way?
Yes
No
Have you made efforts to know God better?
Yes
No
Somewhat
Do you believe the BIBLE was given to us by God?
Yes
No
Do you think if a person understood the BIBLE, they could know God better?
Yes
No
Do you feel the BIBLE reveals events that are happening today?
Yes
No
Have you ever learned about the return of Christ?
Yes
No
When the Lord returns, do you feel you will be among the group He takes with Him?
Yes
No
Would you be interested in studying the BIBLE in your home to help you understand it better?
Yes
No
If Yes, what day of the week and time is best for you?
Time
Time
:
Hours
Minutes
AM
Any remarks
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