Center for Spiritual Living Paradise Survey
1.
Please provide us with updated contact information. Please list your cell number under home phone.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:

2.

If you are not living in Butte County, do you plan to return?

Yes
No
Maybe
Other  
  • Comment:

  • 500 characters left.
3.

Are you planning to maintain your membership status with CSL, Paradise?

Yes
No
Unsure at this time
Tell me more about membership
Other  
  • Comment:

  • 500 characters left.
4.

If you do not plan on maintaining your membership, why?

Moved out of the area
Distance
Inconvenient time for Sunday services
Other  
  • Comment:

  • 500 characters left.
5.

Do you need prayer support?

Yes
No
Other  
  • Comment:

  • 500 characters left.
6.

If you need/want prayer support, how would you like Rev. Christine to contact you? (Please leave contact info in your comment section)

Phone
Text
E-mail
Meet in person
Other  
  • Comment:

  • 500 characters left.
7.

Are you interested in helping to attend and/or plan future events for our Center?

Yes
No
Not sure at this time
Other  
  • Comment:

  • 500 characters left.
8.

Do you have any questions for our leadership? (Please list your questions in the comment section) 

Yes
No
  • Comment:

  • 500 characters left.