Copy of What type of encouragement do you need? Question Title * 1. Overall how would you rate your physical health? Excellent Very good Good Fair Poor Question Title * 2. How interested are you in knowing God and His will better? Extremely interested Very interested Somewhat interested Not so interested Not at all interested Question Title * 3. Do you think you have any type of addiction and could use some help? Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Question Title * 4. How willing are you to do what it takes to improve your life? Definitely would Probably would Probably would not Definitely would not Question Title * 5. Do you believe God loves you, and He has a plan for your life? And that He sacrificed His Son Jesus for payment of our sins, and that we need to accept Jesus as our Lord and Savior to benefit from His sacrifice. And do you want to learn more how God can help you now, and be with you in heaven when you die? Yes No Other (please specify) Done