Today's Date(Required) MM slash DD slash YYYY How did you hear about our church?(Required)Did you feel welcome upon entering our church?(Required) Yes No Evaluate the sermon message (1-5 best)(Required)12345Evaluate the worship music (1-5 best)(Required)12345Evaluate the friendliness (1-5 best)(Required)12345Evaluate the facilities (1-5 best)(Required)12345What did you enjoy most?(Required)What could be improved most?(Required)What previous church experience have you had?(Required) Weekly attendance Monthly attendance Holiday attendance Rarely attended Previously hurt Would you like a personal contact?(Required) Yes No What would you like our church to pray about? (optional)Name (optional) First Last Phone (optional)Email (optional) Δ