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Host Report
Thank you for helping us track the reach and the impact of the film.
Contact Name
First Name
Last Name
Contact e-mail address
Showing date
Please select a day
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Day
Please select a month
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Month
Please select a year
2025
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Year
Showing location - city/state/country
Venue - name and type (church/school/theater/club/home/etc)
Number is attendance:
Do you know if anyone made the decision to accept Jesus?
yes
no
I don't know
How many people decided to follow Jesus?
Were there any baptisms as a result of that decision? How many?
Do you know if any small discipleship groups were launched from this showing?
yes
no
I don't know
How many small groups formed?
Is this group(s) using the lesson guides created to go with the film?
yes
no
I don't know
I am not aware of the lesson guides that go with the film
Which lesson set(s) are you using
Adult
Teen
Children/Family
all of the above
May we contact you for more information about your small group(s)?
Is there a specific story of life change you would like to share with us?
yes
no
not at this time - maybe later
Tell us your story!
Would it be okay to share this story in a public setting or a publication?
Do you have any other comments or feedback to share with us?
Send
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