First Name
Last Name
Address
City State Zip
I am (check all that apply)
18-25 26-30 31-39 40-49 50-59 60+ Jr. High Sr. High College Single Divorced Married Widowed
Email Phone Cell (optional)
New in the community Yes No
How did you hear about us? Friend Advertising Website Other
Family living with you (names and ages)
I would like to learn more about being a follower of Jesus Christ: I would like to know about beginning a personal relationship with Jesus Christ. I want to renew my relationship with Jesus Christ. I would like to learn more about LHC's Core Values. I would like to learn about becoming a member of LHC. I would like to join a home group. I would like a phone call.
I would like information on: Church Youth Children College Singles Vintage Home Groups
Music & Drama Prayer Women's Ministry PADS How I can Serve Now
Section B-Survey
I attended 8:45 a.m. service 10:30 a.m. service
Last Name (optional)
Rate your overall visit to LHC (on a scale of 1-5 with 1 being the lowest)
Sermon 1 2 3 4 5 Worship 1 2 3 4 5 Greeters 1 2 3 4 5 Nursery 1 2 3 4 5 Preschool 1 2 3 4 5 Kidz Church 1 2 3 4 5 Sunday School 1 2 3 4 5
Please let us know how we can better serve you
What do you like or dislike about Living Hope Church?