1st Timer Questionnaire Form
Please fill out this form and click submit.
Date of Visit
*
Name
*
Email
Phone
*
Residential Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Sex
*
Please select one option.
Male
Female
Select Option
Male
Female
Age Range
*
Please select one option.
<20
20s-30s
30s-40s
40s-50s
60+
VISIT STATUS
Info about Your Visit (Choose all that applies)
*
Please select all that apply.
Live in Charlotte
Out of Town
Invited for Occasion
Just Checking
Ready to Join
Saw a Flyer
Walk In
Winner Before
N/A
Follow Up
Day of the Week to Follow up
Please select all that apply.
Monday
Tuesday
Wednessday
Thursday
Friday
Saturday
Sunday
Any Day
Ideal Time to Call to Follow up
Please select all that apply.
AM
PM
Either
SPIRITUAL INFORMATION
Please check all that apply
*
Please select all that apply.
New Birth
Believer's Foundation Class
WOFBI
Water Baptism
Holy Ghost Baptism
STEWARDSHIP AREA DESIRED-(You may enlist in multiple Service units)
Service Units
*
Please select all that apply.
Choir
Children's Church
Decoration Unit
Technical/Media
Sanctuary Keepers
Transportation
Security
Hospitality
Undecided
Ushering
Protocol
WINNERS SATELITE FELLOWSHIP (WSF)
What is your WSF status?
*
Please select all that apply.
Belong to WSF Center
WSF home Cell Provider
Not currently part of WSF
What WSF center do you belong to?
*
Please select one option.
Breakthrough Center
Covenant Center
Covenant Keeper Center
Dominion Center
Faith Center
Fortune Center
Fruitfulness Center
Glory Center
Grace Center
Honor Center
Hope Center
Joy Center
Liberation Center
Love Center
New Dawn Center
Peace Center
Power Center
Praise Center
Prosperity Center
Restoration Center
Solution Center
Testimony Center
Victory Center
Wisdom Center
DONT ATTEND ANY
Select Option
Breakthrough Center
Covenant Center
Covenant Keeper Center
Dominion Center
Faith Center
Fortune Center
Fruitfulness Center
Glory Center
Grace Center
Honor Center
Hope Center
Joy Center
Liberation Center
Love Center
New Dawn Center
Peace Center
Power Center
Praise Center
Prosperity Center
Restoration Center
Solution Center
Testimony Center
Victory Center
Wisdom Center
DONT ATTEND ANY
Submit
Description
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