About Your Past
Check each statement that is true for you:
How long have you been a Christian?
Less than three months
Less than six months
Less than one year
More than one year
Previous exposure to Christianity:
Attended a Christian school
Previously attended church, but did not believe
Have never found a church I felt comfortable with
Have fallen away from following the Lord
Faithfully participated in the life of a church
The following members of your family are Christians:
None. I am the first one
Brother(s) or sister(s)
Have professed faith in Jesus Christ
Belong to a church, but seldom attend
Belong to a church, and attend faithfully
Don’t discuss their beliefs with you
Why did you become a Christian?
Influenced by family member(s)
Influenced by friends
Influenced by respected person (teacher, etc.)
Through preaching or reading Christian literature
God revealed His presence to me personally
Have you been baptized with water?
Yes (Immersed or Sprinkled)
When where you baptized?
How old were you when baptized?
How would you describe your conversion experience?
If you are working, how long have you been working?
In that time, how many jobs have you had?
Have you followed any religious groups in the past?
If yes to above, which one(s)?
Enter info here
Share your past religious or supernatural experiences:
Enter info here
List two or three people who have significantly influenced your life:
How do you share your faith in Christ with others?
Naturally, with freedom
Don’t share with others
Out of a guilty compulsion
Don’t know how