Revival Follow-Up Questionnaire

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?

___________________________________________________________________

4. If you attended more than one service, which did you enjoy most and why?

___________________________________________________________________

5. How many people shook your hand, said “Hello, we’re glad you are here,” or in any way made you feel welcome?

____________________________________________________________________

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?

_____________________________________________________________________
(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?

_____________________________________________________________________

9. What was your reaction to the slides or film presentations?

_____________________________________________________________________
(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?

____________________________________________________________________

11. How many people invited you to come back?

____________________________________________________________________

12. Would you consider visiting our church again?

____________________________________________________________________

13. Would you mind if we put your name on our mailing list to inform you  when we have special services?

____________________________________________________________________

14. Have you ever thought you might want to be filled with the Holy  Ghost?

____________________________________________________________________

15. Would you be interested in studying the Bible in you home?

____________________________________________________________________

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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