Discipleship Questionaire
Please fill out this form and click submit.
Please take this survey if you are interested in being discipled or if you are interested in discipling others.
Name
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Address
*
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AA
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AE
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AL
AP
AR
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AZ
BC
CA
CO
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FL
FM
GA
GU
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ID
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IN
KS
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LA
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MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NH
NJ
NL
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NT
NU
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OH
OK
ON
OR
PA
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PW
QC
RI
SC
SD
SK
TN
TX
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VA
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VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Birthday
*
Are you currently a member of Orchard Church?
*
Please select all that apply.
Yes
No
How do you want to be involved in our discipleship ministry?
*
Please select one option.
I want to be discipled.
I want to disciple others.
Select Option
I want to be discipled.
I want to disciple others.
How long have you been active in church?
*
What kind of church background do you have? (Baptist, Catholic, etc.)
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List the top three things (in order) that you expect to get out of discipleship.
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On a scale from 1-10 (10 being the best), how would you rank your Bible knowledge?
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Please select one option.
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9
10
Select Option
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10
On a scale from 1-10 (10 being the best), how would you rank your relationship with Christ?
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Please select one option.
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9
10
Select Option
1
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10
Are you involved in a community group?
*
Please select one option.
Yes
No
Select Option
Yes
No
If yes, which community group?
Please include any other information that may be helpful in understanding your background.
Submit
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