Easter Survey Name * First Name Last Name Date of Birth * Are you a first time guest? * Yes No Gender Male Female Marital Status Married Single Other If married, spouse's name: Email * Cell Number and Provider Address Address 1 Address 2 City State/Province Zip/Postal Code Country This is a new address Yes No Names and dates of birth of children in your household My Decision Today: * A - I'm already a follower of Jesus B - I want to begin today making Jesus my King C - I want to consider it a little longer D - I don't ever plan on making Jesus my King Prayer Requests Whether this is your 1st time or you're a regular attender, we would love your feedback! What brought you to Collective? Preferred method of communication Email Text Facebook Instagram Phone Other Have you gone public with your faith through water baptism? * Yes No No, but I want to. Please give me more information. Have you completed Rooted? Yes, I Have No I Have Not Questions or Comments Thank you for your response!
