1. In terms of religion, how would you describe yourself?
	a Christian a Jew a Muslim No Religion Other, please specify

	2. What church do you belong to?
	Church of Scotland Roman Catholic Episcopalian Methodist Congregational Brethren Baptist Other, please specify

	3. How do you attend church?
	Regularly (i.e. every week) On special occasions (e.g. Easter, Christmas) Never

	4. Have you heard of, or visited, Pathhead Baptist Church?
	Yes No

	5. Do you believe in God?
	Yes No Not sure

	6. Do you believe Jesus Christ was ...
	a real person? nothing more than a good man? a fraudster? a prophet? the Son of God? Other, please specify

	7. Do you read the Bible?
	Regularly Sometimes Never

	8. In your opinion, how does a person become a Christian?
	Live a good life Go to church Believe in God Born into, or brought up as a Christian Believe in Jesus Christ as personal Saviour Don't know/Not sure Other, please specify

	9. Would you be interested in further exploring these questions?
	Yes No

	10. Age Group
	15 - 25 26 - 35 36 - 45 46 - 55 56 - 65 66 +

	11. If you would like to further explore these issues with us, please supply the following ...
	Name Address 1 Address 2 City/Town State/Province Zip/Postal Code Country Email Address

	12. Thank you for your time and interest!
	Yes, I would like to attend Pathhead Baptist Church No thanks. I don't wish to attend Other, please specify