BLITZ | OUTREACH FORM

SURVEY:

On a scale of 1 to 10, how bad do you need God to do something in your life?

We know that everyone has a prayer request. What is one need that we can pray about with you and believe for God to meet for you? (PRAY!)

Do you feel the Bible reveals events that are happening today?

Yes

No

Have you ever heard about the second coming of Christ?

Yes

No

Do you feel like you are ready for the second coming of Christ?

Yes

No

Would you be interested in a personal Bible study to help make sure you are ready for the second coming of Christ? (This is a 30 min lesson that we will work around your schedule to teach you.)

Yes

No

What time?

CONTACT INFO:

Name of the Person You Just Met

What is their Phone Number?

And/Or What is their Email?

MY NOTES:

My Name (So we can reference who they met)

My Notes

Were they Baptized in Jesus Name during the BLITZ?

Yes

No

Were they Filled with the Holy Ghost during BLITZ?

Yes

No