Name: _____________________________________
Address: ___________________________________
Telephone: _________________________________
Do you have a Bible in your home: _______ How many: _______
What translation do you prefer? _______________________
What is your religious preference? _____________________
Circle the answer:
1. Do you believe the Bible came from God? (2 Pet 1:20,21; 2 Tim 3:16,17)
YES NO
2. Do you believe the Bible is true? (John 17:17; John 8:31,32)
YES NO
3. Do you believe a nation achieves greatness through the Bible's influence? (Pro 14:34)
YES NO
4. Do you believe Jesus Christ is the Son of God, who lived on this earth? (Luke 1:31,32)
YES NO
5. Do you believe Jesus died and was raised from the dead? (1 Cor 15:1-4; Acts 17:30,31)
YES NO
6. Do you believe you will stand in judgement before God? (2 Cor 5:10)
YES NO
7. Do you believe in heaven where people will be rewarded eternally? (Math 25:41,42; Rev 21:1-4)
YES NO
8. Do you believe in hell where people will be punished eternally? (Matt 25:41,46; Rev 14:9-11)
YES NO
9. Do you believe all churches should teach the same thing? (John 17:20,21; 1 Cor 2:10)
YES NO
10. Do you ever think about death and what will happen afterwards? (Heb 9:27)
YES NO
11. Do you believe a better knowledge of the Bible would help you? (John 8:32)
YES NO
12. How many times have you attended church services in the last week: ______
Month: _____
Year: _____
13. If you have children do they attend Bible classes? ___________
14. Would a bible study interest you? ___________ (no charge)
15. If asked, the purpose of this survey is:
a. To cause people to think about spiritual matters
b. To make a personal contact
c. To invite individuals and families to visit
us
d. To encourage them to study the Bible with us