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39
Questions
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1
What is your gender?
Male
Female
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2
What is your age?
12-19
20-39
40-59
60-74
75+
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3
What is your marital status?
Single (never married)
Single (divorced)
Married
Widowed
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4
How long have you been attending BORN Church?
Less than 1 year
1–5 years
6–10 years
10+ years
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5
Do you spend time in daily private prayer and Bible study?
Almost Always
Sometimes
Usually
Rarely
Never
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6
Do you attend the worship service at BORN Church weekly?
Almost Always
Sometimes
Usually
Rarely
Never
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7
Do you actively participate (sing, give, listen, pray, etc.) in BORN Church’s weekly worship service?
Almost Always
Sometimes
Usually
Rarely
Never
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8
Do you feel close to God during BORN Church’s worship service?
Almost Always
Sometimes
Usually
Rarely
Never
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9
Do you praise God for Who He is in your prayers?
Almost Always
Sometimes
Usually
Rarely
Never
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10
Do you confess your known sins to God as you pray?
Almost Always
Sometimes
Usually
Rarely
Never
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11
Do you spend time giving God thanks in your prayers?
Almost Always
Sometimes
Usually
Rarely
Never
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12
Do you spend time praying for the needs of others?
Almost Always
Sometimes
Usually
Rarely
Never
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13
Do you feel your church spends significant time together in prayer?
Almost Always
Sometimes
Usually
Rarely
Never
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14
Do you pray for your pastor and church leaders?
Almost Always
Sometimes
Usually
Rarely
Never
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15
Do you invite lost and unchurched individuals to BORN Church?
Almost Always
Sometimes
Usually
Rarely
Never
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16
Do you personally share the gospel with lost individuals?
Almost Always
Sometimes
Usually
Rarely
Never
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17
Do you participate in BORN Church’s evangelistic and outreach efforts?
Almost Always
Sometimes
Usually
Rarely
Never
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18
Do you pray for lost individuals by name?
Almost Always
Sometimes
Usually
Rarely
Never
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19
Do you give at least a tithe of your income to the Lord through your church?
Almost Always
Sometimes
Usually
Rarely
Never
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20
Do you strive to study and obey Scripture in your daily life?
Almost Always
Sometimes
Usually
Rarely
Never
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21
Do you know and participate in BORN Church’s plan of discipleship?
Almost Always
Sometimes
Usually
Rarely
Never
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22
Do you know and use your spiritual gifts to serve the Lord through BORN Church?
Almost Always
Sometimes
Usually
Rarely
Never
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23
Do you feel you “fit in” and are a part of BORN’s church family?
Almost Always
Sometimes
Usually
Rarely
Never
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24
Do you make an effort to develop friendships with new people at BORN Church?
Almost Always
Sometimes
Usually
Rarely
Never
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25
Do you look for opportunities to encourage your fellow church members?
Almost Always
Sometimes
Usually
Rarely
Never
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26
Do you spend time with fellow church members outside regular church meetings?
Almost Always
Sometimes
Usually
Rarely
Never
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27
Do you feel you have received encouragement from your fellow church members?
Almost Always
Sometimes
Usually
Rarely
Never
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28
Do you actively seek to resolve conflicts with your fellow church members?
Almost Always
Sometimes
Usually
Rarely
Never
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29
Are you aware of the missionaries BORN Church currently supports?
Yes
No
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30
Do you pray for the missionaries BORN Church currently supports?
Almost Always
Sometimes
Usually
Rarely
Never
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31
Do you pray for BORN Church’s participation in missions?
Almost Always
Sometimes
Usually
Rarely
Never
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32
Do you give to missions through BORN Church?
Almost Always
Sometimes
Usually
Rarely
Never
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33
Do you participate in mission opportunities offered by your church in your local community?
Almost Always
Sometimes
Usually
Rarely
Never
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34
Do you belong to a small group? (If no please skip all remaining questions)
Yes
No
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35
Do you attend a small group meeting at least twice per month?
SMALL GROUP ONLY
Almost Always
Sometimes
Usually
Rarely
Never
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36
Do you serve in some way to strengthen your church through your small group?
SMALL GROUP ONLY
Almost Always
Sometimes
Usually
Rarely
Never
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37
Do you support efforts to start new small groups at BORN Church?
SMALL GROUP ONLY
Almost Always
Sometimes
Usually
Rarely
Never
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38
Do you and your small group make an intentional effort to invite new people to join your small group?
SMALL GROUP ONLY
Almost Always
Sometimes
Usually
Rarely
Never
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39
Do you study the applicable passage of Scripture prior to your small group’s meeting?
SMALL GROUP ONLY
Almost Always
Sometimes
Usually
Rarely
Never
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