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1
What's your name?
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2
Email
example@example.com
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3
Preferred method of contact
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Email
Phone Call
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4
What best describes your life stage?
College/Young Adult
Single
Married
Married w/ kids
Empty nester
Senior Adult
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5
What times are you available for a group?
Weeknights
Weekends
Mornings
Afternoons
Evenings
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6
What type of group are you looking for?
Bible Study
Men's Group
Women's Group
Marriage/Parenting
Young Adults
Prayer Group
Not sure, help me find one!
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7
Anything else you'd like us to know?
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8
Would you like someone to personally follow up with you?
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