Guest Form
Please fill out this form and click submit.
Today's Date
*
Name
*
Status
*
Please select all that apply.
Widowed
Single
Divorced
Married
Spouse's name
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Cell Phone
*
Email
This address will receive a confirmation email
Check Your Age Group
*
Please select all that apply.
12-17
18-23
24-29
30-35
36-41
42-47
48-53
54-63
64-69
70-80
80-up
Number of School Age Children:
Please select one option.
1
2
3
4
5
6
7
none
Preferred Contact Method
*
Please select all that apply.
Call
Text
Email
Best time to contact you
*
Please select all that apply.
Morning
Noon
Evening
Are you currently attending another church?
*
Please select one option.
Yes
No
Looking for one
If no, tell us why not.
If yes, what is the name
What prompted your visit today?
What service did you attend?
*
Please select all that apply.
Sunday Worship
Bible Study
Reading Group
Special Event (like Easter, Family and Friends, Conference, etc)
Check the following option that describes you:
Please select all that apply.
1st time guest
2nd time guest
3rd time guest
4 or more
How did you find about our church?
*
Please select one option.
Family
Friend
Social Media
Website
Google
Drive-by
Invitation
Other
Do you watch our services online before attending?
*
Please select one option.
Yes
No
Who invited you?
How was your experience today?
Was anything confusing or hard to find?
*
Please select one option.
Yes
No
If yes, please tell us what it was.
What did you enjoy most about your visit?
Any comments or suggestions?
Would you like a visit or call from one of our leaders?
*
Please select all that apply.
Pastor
Deacon
Ministry Leader
None
Which would you like more information about?
Please select all that apply.
Salvation / How to become a Christian
Baptism
Becoming a part of the Holy Temple family
Bible Study Groups
Youth / Children Ministry
Men's / Women's Ministry
Counseling / Prayer
I don't need more information
I'd like to receive:
*
Please select all that apply.
Text messages
Invitation to upcoming events
No invites or invitation
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