Church Individual Survey and Poll

Print: Church Individual Survey and Poll

cool inside church

Individual Survey and Poll


Is this the first time you have visited our church? Yes ___   No___

Have you enjoyed meeting the friendly people who greeted you?    Yes___   No___

Has anyone ever told you that God loves you and that He has a wonderful plan for your life? Yes___ No___

If today were your last day on earth, do you know for sure, beyond a shadow of a doubt, that you would go to heaven? Yes___   No___

Have you ever heard that the Holy Bible says: “For all have sinned and come short of the glory of God,” and, “For the wages of sin is death but the gift of God is eternal life through Jesus Christ our Lord.” And, “Whosoever shall call upon the name of the Lord shall be saved.”     Yes___ No___

Did you know that you are a “whosoever”? Yes___   No___

Our prayer for you: Lord, bless each person who reads this with a long and healthy life. Jesus, we ask You to wrap Your loving arms around them right now. Make Yourself so real to them. Do a quick work in their heart. If they have never received You as their Lord and Savior, we pray that they do so right now.

If you would like to receive the gift that God has for you today, pray this with all of your heart:

Dear Lord Jesus, come into my heart. Forgive me of my sin. Set me free. Jesus, thank You that You died for me. I believe that God raised You from the dead so I can have eternal life. Come and be my personal Lord and Savior. Fill me with Your Holy Spirit, the peace of God, and the joy of the Lord. Give me a hunger for the things of God, a passion to reach the lost, and boldness to share the good news of Jesus with others. I’m saved. I’m born again. I’m forgiven and I’m on my way to heaven because I have Jesus in my heart. Amen Thank You Jesus!

When you asked Jesus to come into your heart and to forgive you, He heard you and did so! All of your sins are now forgiven! Always remember to run to God and not from God because He loves you and has a wonderful plan for your life. You can write: ”I got saved!” on your calendar today!

Did you say the above prayer? Yes___ No___



E-mail address:______________________________________________

Mailing address:______________________________________________

City:____________________________ State:______________________

Zip:______________ Phone:___________________________________


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