Quick Note:  Answer each of the questions honestly and with the first thoughts that come to mind.  There is no right or wrong way to answer.  These questions are designed to give a broad view of your position in the journey and where you want to go.  I cannot stress enough the honesty factor.  If we do not have an accurate view of where you are-we will not be able to lay out the right path for you.  God bless you and I look forward to speaking with you in the days ahead.

Religious Background: 

 

1. What churches or denominations have you been a part of in the past?  Why did you leave?

     

 

2. Have you ever had a salvation experience?  If so, when did it happen and write 1 paragraph that tells the story.

 

 

3. Have you been scripturally baptized (after salvation and by immersion)?  Yes No   

 If yes, when?

 

4. Describe the pattern of your spiritual journey after salvation.

 

5. What are the 3 greatest challenges you face as a believer?

 

 

6. What classes/courses (discipleship classes, Sunday School, Bible Studies, Small Groups, etc.) have you been a part of?

 

 

7. In a paragraph, describe your prayer life:

 

 Positions, Roles, or Jobs (past and present):

1. Where has God put you (i.e., environment, positions, culture, etc.?

 

 

2. How has God prepared you (i.e., education, influential people in your life, experiences, etc.)?

 

 General Questions:

1. Do you like to read? yes no  

 

2. If you were to listen to sermons at home or in the car, which media would you prefer (select all that apply)?

Tapes            

Cds              

Podcast                

Sermons online

 

3. What learning style describes you best (select the one that describes you best)?

Audible            

Visual              

Hands-on

 

4. What style of worship do you enjoy the most (select the one that describes you best)?

Contemporary            

Blended              

Traditional

 

5. Is there anything in your past that you feel is a barrier to your future? (Please share only what you are comfortable sharing!)

 

Personal Goals

1. What do you want to accomplish in the Christian life? Another way of asking the question is, "What do you want to be remembered for?"

 

 

2. Give 3 goals that you would like to achieve this year:

stronger prayer life           

better relationships     

understand the Bible 

be able to study the Bible   

share my faith           

find a place of service

better marriage                 

know my purpose in life 

improve on my parenting skills

get more involved            

discover my spiritual gifts 

overcome an addiction

consistent quiet time

other: 

other:    

other: 

Desires, Dreams, Abilities

1. If money were not an issue - what would you want to do in life?

 

 

2. What is your big dream? Has there been something that has been pressed into your heart for years?

 

Spiritual Interests

1. What biblical/spiritual subjects interest you (i.e., family, theology, end times, the Gospels, Paul's letters, etc.)?

 

 

2. What types of books do you like to read?

 

 

3. Are there particular conferences you like to attend?

 

 Spiritual Gifts

1. Do you know what your spiritual gifts are? yes no If so, what are they? 

 

 

2. Are you currently serving in a capacity that utilizes your spiritual gifts? yes no If so, where are you utilizing them? 

 

 

3. Are you serving in a capacity that you are not particularly gifted in? yes no If so, where are you serving? 

 

 

4. If you have not already done so - take the spiritual gifts test that is hyperlinked at the beginning of the survey. After taking the test, please provide your scores: 

 Evangelism         

 Prophecy            

 Teaching            

 Exhortation         

 Pastor/Shepherd  

 Showing Mercy     

 Serving               

 Giving                 

 Administration    

 Personal Assessment of Self

1. Do you have a devotional life? yes no

      Amount of time

      When? morning lunch break afternoon evening

      Where? 

      What do you do during your devotions (i.e., what materials do you use? is there a pattern

      you follow? What routines are you accustomed to, etc.?)?

         

 

2. What is the frequency and format of your Bible reading?

 

 

3. How much time do you spend in daily prayer?

    

 

4. Do you journal? yes no  

 

5. Do you enjoy in-depth Bible Studies (i.e., Experiencing God, Beth Moore Studies, Precept Studies, Crown Ministries, etc.)? yes no  

 

6. Do you memorize Scripture? yes no  

 

7. When was the last time you personally shared Christ with someone?

 

8. Have you ever lead someone to faith in Christ? yes no  

 

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