1. What religious background do you have, if any?
2. Are you presently attending a church?
3. If you could ask God a question, what would that question be?
4. If you were to die tonight, would you go to heaven? Of what percentage are you sure?
5. If God could ask you a question and He said, "Why should I let you into my Heaven?", what would you say?

Name	#1	#2	#3	#4%	#5	Phone

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