CLC Experience Evaluation SurveyCLC Experience Evaluation Survey

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1. Please provide your contact information, including preferred email address

Please provide your contact information, including preferred email address Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP/Postal Code:
Country:
Email Address:
Mobile Phone Number:

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2. Who are your co-facilitators?

Who are your co-facilitators? one
two

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3. Please rate on a scale of 1 to 5 (five highest)

	1	2	3	4	5
CLC Curriculum	*Please rate on a scale of 1 to 5 (five highest) CLC Curriculum 1	CLC Curriculum 2	CLC Curriculum 3	CLC Curriculum 4	CLC Curriculum 5
Outside Reading	Outside Reading 1	Outside Reading 2	Outside Reading 3	Outside Reading 4	Outside Reading 5
Your experience Memorizing Verses	Your experience Memorizing Verses 1	Your experience Memorizing Verses 2	Your experience Memorizing Verses 3	Your experience Memorizing Verses 4	Your experience Memorizing Verses 5
Your experience in group meetings	Your experience in group meetings 1	Your experience in group meetings 2	Your experience in group meetings 3	Your experience in group meetings 4	Your experience in group meetings 5

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4. Please rate your spiritual growth at the beginning of CLC from 1 to 5 (5 highest)

	1	2	3	4	5
Confidence in your faith	*Please rate your spiritual growth at the beginning of CLC from 1 to 5 (5 highest) Confidence in your faith 1	Confidence in your faith 2	Confidence in your faith 3	Confidence in your faith 4	Confidence in your faith 5
Financial support of the Church	Financial support of the Church 1	Financial support of the Church 2	Financial support of the Church 3	Financial support of the Church 4	Financial support of the Church 5
Quiet Time	Quiet Time 1	Quiet Time 2	Quiet Time 3	Quiet Time 4	Quiet Time 5
Relationship with God	Relationship with God 1	Relationship with God 2	Relationship with God 3	Relationship with God 4	Relationship with God 5
Role as church spiritual leader	Role as church spiritual leader 1	Role as church spiritual leader 2	Role as church spiritual leader 3	Role as church spiritual leader 4	Role as church spiritual leader 5
Role as family spiritual leader	Role as family spiritual leader 1	Role as family spiritual leader 2	Role as family spiritual leader 3	Role as family spiritual leader 4	Role as family spiritual leader 5
Role as spiritual leader with friends and co-workers	Role as spiritual leader with friends and co-workers 1	Role as spiritual leader with friends and co-workers 2	Role as spiritual leader with friends and co-workers 3	Role as spiritual leader with friends and co-workers 4	Role as spiritual leader with friends and co-workers 5

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5. Please rate your spiritual growth at the end of CLC from 1 to 5 (5 highest)

	1	2	3	4	5
Confidence in your faith	*Please rate your spiritual growth at the end of CLC from 1 to 5 (5 highest) Confidence in your faith 1	Confidence in your faith 2	Confidence in your faith 3	Confidence in your faith 4	Confidence in your faith 5
Financial Support of the Church	Financial Support of the Church 1	Financial Support of the Church 2	Financial Support of the Church 3	Financial Support of the Church 4	Financial Support of the Church 5
Quiet Time	Quiet Time 1	Quiet Time 2	Quiet Time 3	Quiet Time 4	Quiet Time 5
Relationship with God	Relationship with God 1	Relationship with God 2	Relationship with God 3	Relationship with God 4	Relationship with God 5
Role as church spiritual leader	Role as church spiritual leader 1	Role as church spiritual leader 2	Role as church spiritual leader 3	Role as church spiritual leader 4	Role as church spiritual leader 5
Role as family spiritual leader	Role as family spiritual leader 1	Role as family spiritual leader 2	Role as family spiritual leader 3	Role as family spiritual leader 4	Role as family spiritual leader 5
Role as spiritual leader with friends and co-workers	Role as spiritual leader with friends and co-workers 1	Role as spiritual leader with friends and co-workers 2	Role as spiritual leader with friends and co-workers 3	Role as spiritual leader with friends and co-workers 4	Role as spiritual leader with friends and co-workers 5

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