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Client and Prospective Client Survey

Please help us to ensure that the Emmaus Spirituality Center responds to your spiritual needs by answering the following questions.  The survey will take only 5 minutes. We appreciate your assistance and promise that this information is confidential and solely for the use of creating programs.  We will not contact you further unless you give us permission at the end of the survey. Thank You

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* 1. Contact

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* 2. Age

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* 3. What is your gender?

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* 4. Ethnicity

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* 5. Religious Tradition

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* 6. What religious or spiritual practices are most meaningful to you?

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* 7. When and in what way do you feel close to the Divine?

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* 8. What do you experience or hold to be sacred?

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* 9. Where do you go for spiritual development?

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* 10. What do you perceive as your greatest obstacle to spiritual development?

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* 11. Do you wish to be contacted with information regarding spiritual retreats and spiritual direction programs?

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* 12. What is your prefered contact method?

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