My Needs Survey

“Find a life that rocks with exciting purpose.”

What kind of dreams do you have for your life?

What kind of problems has stopped you from achieving your dreams?

What are the needs of your life?

Are there problems in your life that you have been dealing with for a long time?

Are you happy with your present job or business?

Are you dating, engaged, married, divorced or looking for a relationship?

Would you like to know what your God given purpose in life is?

If you could ask God a question, what would it be?

How can churches help people with their needs?

Has life worked out the way you have planned so far? Yes No

Would you like to learn how God can help your life in a Bible study? Yes No

Are you an active member of a church? Yes No

First Name: Last Name:

Street Address:

City: State: Zip:

Phone: Email: