Imagine Not as Much Response Sheet

Name                           _____________________________________________________________

E-mail Address            _____________________________________________________________

Physical Address         _____________________________________________________________

Phone                          __________________________

1. Check one of two

_____  I currently attend church on Sundays.  Where?                                                                                   ________________________________________

_____  I currently do not attend church on Sundays.

2. Check one of four

_____              I need more time to think about receiving Jesus into my heart.

_____              I want to talk with someone more about what it means to invite Jesus into my heart.

_____              Before this week I have already prayed to invite Jesus into my heart.

_____              This week I prayed to invite Jesus into my heart.

3. Check one of three

_____              I need more time to think about baptism.

_____              I have already experienced baptism.  Where? ________________________________________

_____              I would like someone to talk with me further about the meaning and significance of baptism.