Welcome and Contact Information

Thank you for participating in this research study that explores your experience of the Christian faith. Your personal identity will be kept confidential. At the end of each section, press the Next button to save your responses. If you want to go back to a previous page, press the Prev button. (Please do not use your browser's back button--it will throw you out of the survey.) This questionnaire takes about 10 minutes to complete.
 
This research study consists of two phases: 
  •  Phase One: Phase One consists of this online questionnaire. Everyone who completes all parts of this questionnaire is eligible to be entered in a drawing for a $20 gift card from the winner's choice of HyVee, Everybody's, Walmart, or Amazon. 
  • Phase Two: As a follow-up to this questionnaire, you may be invited to participate in a personal interview with the researcher. Participants who accept and complete the interview will be offered a transcript of the interview.
By filling out this questionnaire you consent to participate in Phase One.  Acceptance of an invitation to participate in a personal interview with the researcher constitutes consent to participate in Phase Two.  

Question Title

* 1. First name:

Question Title

* 2. Last name:

Question Title

* 3. What is your zipcode?

Question Title

* 4. Email address:

Question Title

* 5. Phone number: 

Question Title

* 6. I prefer to be contacted by (check all that apply):

Question Title

* 7. After completing the questionnaire, would you like to be entered in the drawing for a $20 gift card?

T