Kindly answer the following questions the most accurately possible. Confidentiality is insured by Anonymity.

2 Corinthians 13:5 is a biblical counsel that many fail to apply to themselves. It is written, examine yourselves as to whether you are in the faith. Test yourselves. This questionnaire will progressively lead the respondent to an in-depth self-examination that will help him/her to an accurate assessment of his/her relationship with God in Jesus Christ with reference to the Holy Spirit. Check or fill where necessary. I- GENERAL INFORMATION Age: ______ Marital status: II- SPIRITUAL LIFE 1- Are you baptized? Yes Water More than 15 years Very active Bible Yes Excellent More than 15 No Spirit 10 to 14 years Active Hymnal No Good 10 to 14 Mediocre 5 to 9 Poor 1 to 4 Null None Water and Spirit 5 to 9 years Fairly active Sabbath School Not sure 1 to 4 years Lightly active Church manual Less that 1 year Inactive None 2- If yes, of which baptism(s)? 3- For how long have you been a Seventh-day Adventist church member? 4- In the church, you see yourself as: 5- Which of the following books do you own as a personal copy? 6- Do you know your spiritual gifts and talents? 7- If yes, how do you rate your use of them? 8- How many friends do you have in the church? 9- How often to you pray individually? More than twice a day Once a day 10- Rate your prayer life : Excellent Good Mediocre Poor Null 11- How often do you study the Bible individually? More than twice a day Once a day 12- Rate your personal Bible study life: Excellent Good Mediocre Poor Null 13- How often do you meet your brothers and sister outside the church setting? More than twice a day Once a day Very warm Warm Less than twice a week Less than twice a month Never Lukewarm Cold Tasteless 14- Rate your relationship with your fellow church brothers and sisters: Less than twice a week Less than twice a month Never Less than twice a week Less than twice a month Never Sex: M Single F Profession: ____________________ Education ___________________ Divorced Separated Widower/ Widowed Married

Prepared by Pastor Christian Eugene Ekoto February 22, 2011

15- How often to you witness for Christ to non-believers? More than twice a day Once a day 16- Rate your witnessing life to non-believers: Very fervent More than 15 18- Rate your praise life: Very fervent At least twice a week Once a week Excellent Once a week 23- Rate your charity life: Excellent Thrice a week Excellent Excellent Good Once to twice a week Good Good Mediocre 3 to 5 times a month Mediocre Mediocre 1 to 5 times a month Mediocre Mediocre Lukewarm Poor Null 24- How often do you attend church? Less than 5 times/year Never Poor Poor Null Null 25- Rate your church frequentation: 26- Rate your Sabbath observance: 27- How often do you consult a pastor or an elder in the church for spiritual matters? More than once a week Once a week 28- Rate your frequentation of ordained men of God: Excellent Very intimate Very warm Good Good Warm Poor Poor Cold Null Null Tasteless 29- Rate your relationship with Jesus Christ: 30- Based on the previous questions, rate your Christian walk: Less than 5 times/year Never Fervent Once a week Lukewarm Cold Null 19- How often do you fast? Once to twice a month Less than twice a year Never Once a year Poor Once a year Never Null Never 20- How often do you return the tithe and give the offerings? Once to twice a month 5 to 10 times a year Good Mediocre 21- Rate your faithfulness in tithing and offering: 22- How often do you practice alms giving or charity? Once to twice a month 5 to 10 times a year Fervent 10 to 14 Lukewarm 5 to 9 Cold 1 to 4 Inexistent None 17- How many hymns can you sing by heart? Less than twice a week Less than twice a month Never

III- PERSONAL COMMITTMENT

After this study and by Gods grace, I ____________________________________ do hereby commit myself to 1. _____________________________________________________________________________ 2. _____________________________________________________________________________ 3. _____________________________________________________________________________
Prepared by Pastor Christian Eugene Ekoto February 22, 2011