Name:
ARE YOU A MEMBER OF ANY CHURCH?
IF THE ANSWER IS YES, WHAT CHURCH ARE YOU A MEMBER OF?
HAVE YOU BEEN..	SAVED FILLED WITH THE HOLY GHOST BAPTIZED ORDAINED SAVED ONCE BUT BACKSLIDDEN NONE OF THE ABOVE
HAVE YOU EVER VISITED GRACE TEMPLE?
WOULD YOU BE INTERESTED IN HEARING FROM SOMEONE AT GRACE TEMPLE?
HOW DID YOU FIND OUT ABOUT THIS WEBSITE
DID YOU ENJOY ANYTHING IN THIS WEBSITE?
HOW CAN WE MAKE THE WEBSITE MORE APPEALING?
HOW OFTEN DO YOU ATTEND CHURCH SERVICES?	ONCE A WEEK TWICE A WEEK THREE TIMES A WEEK MORE THAN 3X A WEEK ONLY ON SUNDAY MORNING ONLY ON SPECIAL DAYS NEVER
WHAT INTERESTS YOU THE MOST ABOUT CHURCH SERVICES?	PREACHING PRAYING SINGING NICE PEOPLE MOVE OF THE SPIRIT ALL OF THE ABOVE NONE OF THE ABOVE
WHERE DO YOU LIVE
Email Address:
WEBSITE ADDRESS (IF YOU HAVE ONE)

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