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* 1. Name:

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* 2. Do you have a sense that God is calling you to anything or anywhere in particular?

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* 3. If someone was to ask you 'what are your passions?' or 'what are your dreams?' how would you respond?

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* 4. What was your Spiritual Giftsurvey.com result? (list top 5 in order)

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* 5. What was your 3DM fivefoldsurvey.com result? (list all 5 in order)

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* 6. Would you like some personal input and feedback on the results from the leadership team? (An appropriate person, or two, will meet with you at a convenient location). It will be an opportunity for feedback, discussion and prayer around your calling and gifts, and what the next steps might be for you within a church context and also within work and society).

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* 7. Email address

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* 8. Phone/mobile

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