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Intake form
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Email address
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What is your preferred method of contact?
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Email
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How did you hear about us?
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Friend or Family
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What services are you interested in?
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Worship Services
Bible Study
Prayer Meetings
Community Outreach
Counseling Services
What is your current level of involvement in a church community?
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Not Involved
Occasionally Attend
Regular Attendee
Member
Do you have any specific prayer requests or needs?
What age group do you belong to?
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Under 18
18-25
26-35
36-45
46-55
56 and above
Are you interested in volunteering with our church activities?
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No
Maybe
What is your preferred worship service time?
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Morning
Afternoon
Evening
Do you have any children?
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Yes
No
If yes, what are their ages?
Which service or services are you interested in?
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Sunday Worship
Saturday Bible Study
Sunday School
Noon Day Prayer
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