Survey

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
E-mail

Do you currently attend a church?

Yes
No

Why do you think most people don't attend a church today?

What do you expect in a church?

What advice would you give us as being part of a church reaching out to people?

What do you think are the needs of your community?

What type of radio station do you listen to most?