24) For activities, which of the following would WORK WELL for you? (Select all that apply)
25) On which EVENINGS would you PREFER to attend activities? (Select all that apply)
26) Would you like to have a pastor call you?
27) Do you have a prayer request?
28) Please enter your prayer request here:
29) Why did you decide to take this questionnaire? (Select all that apply)
30) Providing contact information in the following questions is optional.
31) Title
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32) What is your first name?
33) What is your last name?
34) What is your email address?
35) What is your preferred phone number?
36) What is your home street address?
37) City
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38) City - If not listed above
39) State
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40) Zip Code
41) What is your gender?
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42) Which age group are you in?
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43) Please provide any additional comments here
44) Thank you for taking our Agape House survey.