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* 1. Name

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* 2. Email Address

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* 3. Your Age

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* 4. Gender

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* 5. Marital Status

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* 6. Do you have kids? Check all that apply

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* 7. In the last month, how many times did you attend church?

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* 8. I have a group of believing friends/a friend who is holding me accountable to something right now.

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* 9. I belong to a Small Group (like Community groups, HUB groups, etc) and attend regularly throughout the year

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* 10. I thoughtfully read Scripture on a daily basis

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* 11. I have a pretty good idea what my strongest spiritual gifts are

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* 12. I have a group of friends who know me well and who have helped me or my family through difficult times

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* 13. I pray (not including ceremonial prayers like grace before food) daily

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* 14. God has called me out of my comfort zone and asked me to act in faith recently

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* 15. I feel as though I am a part of the church family

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* 16. My Small Group has an 'outward' (something impacting the local community) approach that we are actively focused on and serving in

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* 17. I feel I am effectively using my spiritual gifts

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* 18. I walk away encouraged and feeling connected with God after a Sunday service

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* 19. I am actively involved in a volunteer role(s) at the church or its ministries

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* 20. I've been on a global mission trip

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* 21. I've initiated spiritual conversations with a non-believer recently

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* 22. I've prayed with someone on Sunday morning within the last couple months

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* 23. I practice spiritual disciplines, like fasting, meditation, journalling, silence and solitude, rest, etc, regularly and intentionally

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* 24. I have non-believing friends who like spending time with me

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* 25. I engage in thoughtful discussion about Biblical questions or topics with close believing friends regularly

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* 26. I've given emotional, spiritual or physical support to someone who was struggling in the last couple of months

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