Church Vision Survey

If you are interested in providing input on various activities, etc at our church, or would like to see us do something particular, please let us know!

Please fill out this survey, and send it to us by clicking on the "submit" button at the bottom of this form.




Please complete the following by checking the correct response 
or filling in the blank.

NAME: ADDRESS: CITY/STATE/ZIP: TELEPHONE: YOUR EMAIL:

May your E-mail address be included in an online directory?

    No     Yes

I. Age (optional):

  • Under 20
  • 20-30
  • 31-40
  • 41-50
  • 51+

II. Gender:

  • Male
  • Female

X. We welcome any comments you have!



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