Ebenezer Church Family Profile

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This survey will take approximately 5 minutes to be completed. The purpose is to gather current information that will be used for the sole purpose of serving each member of the Ebenezer Church family. We would like to celebrate momentous occasions, keep you updated and stay in touch,. Thank you for your time.

Email *

First Name, Last Name *

Age group *

18-30

31-40

41-50

51-60

61-70

71+

Gender *

Male

Female

Address *

Telephone *

Baptised SDA *

Yes

If yes, local church membership

If no, what is your religious background/present affiliation

Marital Status *

Single, Never Married

Single, Divorced

Single, Widowed

Married- Spouse is SDA- Local church membership

Married- Spouse is not SDA- Present religious affiliation

Spouse's Name

Spouse's Age Group

18 - 30

31 - 40

41 - 50

51 - 60

61 - 70

71 +

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