Please check one, fill in the blanks, or circle one.
1. Are you Saved? (Accept Jesus as Your Lord and Savior): Yes____ No___
a. If not, why do you want to be saved? ____________________
b. If yes, how do you know that you are saved? _________________________________________________________
_________________________________________________________
2. a. Were you baptized in Water? Yes or No
    b. Have you read through the Bible? Yes or No
Have you received the Holy Spirit/Ghost? Yes or No
What is the Baptism of the Holy Spirit? _________________________
_________________________________________________________
3. a. Did you speak or pray directly to God in tongues when you received the Holy Spirit? Yes or No
    b. Why do you need to pray in Jesus’ Heavenly Language, Tongues?
    c. Does everyone pray in the Holy Spirit upon Getting Saved?
     Yes or No

d. Is the Baptism in the Holy Spirit Speaking and Tongues?
Yes or No
e. Why speak in another language of tongues since we speak in
English or a natural language? _________________________________
Are you or Do you speak God’s language, tongues? Yes or No
Are you receiving blessings and benefits from God? Yes or No
Since you have been saved, have you led anyone to Christ? Yes or No
If No, Why Not? ____________________________________________

4. Do you know the God-given purpose for your life? Yes or No:
Why are you interested in Christian classes about God? ____________
__________________________________________________________
5. Are you a member of a local Church? If Yes, Give the Church Name or leave it blank: ___________________________
a. If yes, what is your faith/denomination? ___________________
_____________________________________________________

b. If not, Why not? ______________________________________
6. If you attend a Church, do you tithe and give offerings? ______
a. If not, why? ____________________________________________
_________________________________________________________
7. Are You Married? ____ How long have you been Married? ______
How many times have you been Married? ___________
Do you have any Children? _________ How Many? _______________
What are the Ages of your Children? ___________________________

8. Does your Husband attend Church with you if you are married? ____
9. Does your Family Attend Church with you on a regular basis? ____
If No, why not? ____________________________________________
__________________________________________________________

10. Do You know who Satan is? Yes or No. Do you know what happened in the Garden of Eden? Yes or No.? ___________________
_________________________________________________________

11. Is Satan your Spiritual Father? Yes or No. Do you have a testimony about God? If Yes, write it on the back of this form if need more space. _________________________________________________________
__________________________________________________________
12. Are there any attacks of sickness in your body that you need prayer for now? Yes or No ____________________________________________
13. Do you have a question(s) on your mind or a subject to discuss? ____________________________________________________________________________________________________________________
14. Name two things in the world that you would like to do for yourself or help someone else.
1.________________________________________________________
2________________________________________________________
If you would die today, would you go to heaven or hell?
Heaven ____________ or Hell_____________ (Check One).

How much time or prayer do you spend with your Spiritual Father, God?
______ 0 _____1/2 of Day _____ 1Hr a day/more (Check One)
Where do you stand with God?