REVIVAL FOLLOW-UP QUESTIONNAIRE
1. Which of the services did you attend?
___ Tuesday, film Wonderman
___ Wednesday, What’s Behind Rock Music
___ Thursday, Mark of the Beast
2. How did you hear about these services?
___ newspaper ___ radio ___ word of mouth
___ sign in store ___ sign at church ___ handout
3. What influenced you most to come, someone asking you, interest in subjects presented or other?
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4. If you attended more than one service, which did you enjoy most and why?
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5. How many people shook your hand, said “Hello, we’re glad you are here,” or in any way made you feel welcome?
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6. Were the ushers quick and kind in finding you a seat? ___ Yes ___ No
Was you seat comfortable? ___ Yes ___ No
Could you see and hear well enough? ___ Yes ___ No
7. What was your reaction to the music?
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(suggested answers–too loud, not loud enough, too fast, dragging, uplifting, lively, inappropriate for church, different from what you’re used to, foot-tapping, enjoyable, boring, etc.)
8. What if anything was said or done by any individual which may have offended you?
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9. What was your reaction to the slides or film presentations?
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(suggested answers–boring, kept me on edge of seat, felt immediate need to get right with God, too long, hard to believe, believed every word, proved the point, wanted to see more, etc.)
10. During the altar service, how many people asked you if you would like to pray?
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11. How many people invited you to come back?
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12. Would you consider visiting our church again?
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13. Would you mind if we put your name on our mailing list to inform you when we have special services?
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14. Have you ever thought you might want to be filled with the Holy Ghost?
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15. Would you be interested in studying the Bible in you home?
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16. Would you be willing to let one of the families from our church visit you?
____________________________________________________________________
______________________________
Name of Visitor
______________________________
Date
______________________________
Name of Interviewer
(The above material was a sample form prepared by the Church of Jesus Christ in Springville, IN.)
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