Religion Questionnaire

Hello my name is

First

Last

I’m wondering if you are able to give us about 5 mins of your time to help us understand some of our community needs which will enable us to pray for and support our community more efficiently. We are from Horizon Church.

Christian

Non-religious: None, I do not identify with any religion or spiritual belief

Spiritual but not religious: I have spiritual beliefs but I don’t identify with any main religion

Non-Christian but religious: Buddhism, Hinduism, Islam, Judaism, other (please specify)Non-Christian but religious: Buddhism, Hinduism, Islam, Judaism, other (please specify)

I used to identify as a Christian- as a child etc.

From a fish or ape through a process of evolution

From a Big Bang

God created man

Re-incarnation

Other

What is the meaning of life?

To enjoy life and be happy

To pursue pleasure

To make the world a better place

To be self-sufficient

To glorify God and serve Him

To leave an inheritance to those after us

There is no meaning

What do you think happens when we die?

Which of the following statements describe your spiritual beliefs?

I believe there is an ultimate purpose and meaning in life

I believe in the inward journey of discovering the inner person

I believe in a mixture of spiritual beliefs from major religions

I believe in a spiritual realm

I don’t believe there is a specific reason to life

Which of the following best describes your current attitudes towards Christianity?

Open: ‘I believe in Christianity, but don’t consider myself a Christian’, ‘I believe in much of Christianity, but still have some significant doubts’ and ‘I believe in the ethics and values of Christianity but I don’t practice Christianity in any way’

Closed: ‘I am passionately opposed to Christianity’, ‘I’ve got strong reservations about Christianity and I have no interest in it’ and ‘I have some issues with Christianity and it isn’t for me’

**** This next question is for the interviewer to fill in and not to be asked. If unsure you can ask the person which section they think they might fall into.

Position

Why do think there is so much evil and suffering in the world?

Do you think there is the possibility of having a true and false religion?

True

False

Do you believe in the existence of a God?

Yes

No

If so, what’s your understanding of God?

Supreme being

Mother earth/universe

Dictator

We are gods

Have you ever been hurt or offended by religion or a religious person or the church?

Yes

No

Has this affected your view of God or of the church

Yes

No

Can you conceive of the possibility that there is something such a false Christianity but also true Christianity?

Yes

No

Do you believe your good works will lead you to heaven?

Yes

No

Do you believe you are a good person?

Yes

No

If yes, Why?

Are you afraid of dying?

Yes

No

What do you think of the following statement? John 3:16 16 For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.

How do you think the church can help you and your family?

Yes

No

Have you ever had something happen to you that suggest there must be a God?

Yes

No

How does He reveal Himself to you?

What is your opinion of the Bible?

Philosophy

Historical book

A book of law (rules of do’s and don’ts)

Divinely inspired

Have you ever read the Bible?

Yes

No

What is your opinion of it? Do you think it is true?

What you think of the following verses: John 3:16 For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life John 1:12 Yet to all who did receive him, to those who believed in his name, he gave the right to become children of God

Do you believe in heaven?

Yes

No

What do you believe happens when you die?

Do you believe there is one or many ways to heaven? If so, Why?

If there the is a heaven, then do you believe your good works will lead you there?

Yes

No

How do you know if you have done enough good works?

What about your bad works? Do you think you’d ever be judged for your bad works.

Will good works, morality, philosophy, religion and self-development save you?

Are you interested in knowing more about God?

Yes

No

Are you affiliated with a religious institution, do you go to church?

Yes

No

Yes

No

Why?

Do you believe in God?

Yes

No

What is your understanding of God?

How does He reveal Himself to you?

What is your opinion of the Bible?

Philosophy

Historical book

A book of law (rules of do’s and don’ts)

Divinely inspired

Have you ever read the Bible?

Yes

No

What is your opinion of it? Do you think it is true?

What you think of the following verses: John 3:16 For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life John 1:12 Yet to all who did receive him, to those who believed in his name, he gave the right to become children of God

Do you believe in heaven?

Yes

No

What do you believe happens when you die?

Do you believe there is one or many ways to heaven? If so, Why?

If there the is a heaven, then do you believe your good works will lead you there?

Yes

No

How do you know if you have done enough good works?

Will good works, morality, philosophy, religion and self-development save you?

What about your bad works? Do you think you’d ever be judged for your bad works.

Are you interested in knowing more about God?

Yes

No

Are you affiliated with a religious institution, do you go to church?

Yes

No

Yes

No

What do you think about what was said about Jesus?

The verse speaks about sin … what do you think sin is?

Have you ever heard of … Romans 5:8 8 But God demonstrates his own love for us in this: While we were still sinners, Christ died for us. OR Romans 6:3 23 For the wages of sin is death, but the gift of God is eternal life in Christ Jesus our Lord.

Yes

No

What are the consequences of sin?

What do you think about God’s love/gift?

Do you have any questions based on what you heard?

Present the Gospel (if the person is open/under conviction):

Do you go to church OR Are you interested in going to church?

Yes

No

Is there more that you would like to know and can we pay you another visit?

Yes

No

How do you know that you have done enough good works?

What about your bad works? Do you think that you’d ever be judged for your bad works?

Do you go to a religious gathering (Like church or temple)

Yes

No

John 14:6 6 Jesus answered, “I am the way and the truth and the life. No one comes to the Father except through me. Do you have a personal relationship with Jesus?

Yes

No

What do you think of the following saying? Isaiah 64:6 … All of us have become like one who is unclean, and all our righteous acts are like filthy rags; we all shrivel up like a leaf, and like the wind our sins sweep us away. OR James 2:10 For whoever keeps the whole law and yet stumbles at just one point is guilty of breaking all of it.

Yes

No

What makes you a Christian? (How did you become a Christian?)

How are you going in your walk with God?

What types of things do you do that is helping your walk with God or hindering your walk with God?

Are you fellowshipping anywhere? (Do you go to church?)

Yes

No

Are you a regular attendant?

Yes

No

What do you think of the following verse? Mark 8:36 What good is it for someone to gain the whole world, yet forfeit their soul? OR Psalm 73: 26 My flesh and my heart may fail, but God is the strength of my heart and my portion forever.

Would you like help to make a fresh start in your walk with God?

Yes

No

What is your name?

After praying for you more, may we contact you?

Yes

No

How can we pray for you?

Are you willing to share some contact details with us?

Yes

No

Name

Email

Phone