1. Where are you currently at on your spiritual journey?

Skeptical

Exploring

Committed

2. What is your spiritual/faith background?

Christian

Muslim

Jewish

Hindu

Buddhist

Agnostic

Atheist

Other

3. On a scale of 1 to 10, how interested are you in further discussion about spirituality/faith?

1 - Not at all

2

3

4

5

6

7

8

9

10 - Very much

4. On a scale of 1 to 10, how interested are you in Bible studies or Christian gatherings on campus?

1 - Not at all

2

3

4

5

6

7

8

9

10 - Very much

5. I'm interested in leading a Bible study group on campus:

Yes

Maybe

No

Full Name *

First Name

Last Name

Phone

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