HARVEST BAPTIST CHURCH

ANDERSON, SOUTH CAROLINA

AN INDEPENDENT FUNDAMENTAL BAPTIST CHURCH DEDICATED TO PREACHING THE WORD, REACHING THE LOST, AND DISCIPLING THE SAINTS OF GOD

Teen Survey

Hi, guys, I have created this survey to help me better know how to help and pray for the teens of our church. Some of the questions are serious, but some are just for me to get to know you more. Please take a few moments to answer the questions. Oh, and please be honest.

(for legal reasons you must be at least 13 or have parental permision to take this survey)
[notice of parental consent must be email by a parent to admin@harvestbaptistminstries.org]

First Name:
Last Name:

How old are you?

How many brothers and sisters do you have?

Brothers
Sisters

Have you ever been on visitation?

yes
no

What networks are you on? (mark all that apply)

Facebook
MySpace
AOL Instant Messaging
Skype
Twitter

How many pets do you have?

0 1 2 3 4 or more

What types of pets do you have, and what are their names?

Cats
Dogs
Fish
Iguanas
Other

What is the greatest problem in the world today?

What is your favorite subject in school?

Science
Social Studies
English
Math
PE
Lunch

What is your least favorite subject in school?

Science
Social Studies
English
Math
PE

Name one person at school you do not like.

If you could be principal of your school for a day,what would you do?

If you could change one thing about your looks, what would it be?

How sure are you of your salvation?

0% 25% 50% 75% 100%

How often do you read your Bible?

once a month
once a week
twice a week
every other day
every day

What would you do with one million helium balloons?

What is your favorite movie ever?

Who is the person you would most like to be like

What do you like about that person?

Which of the Seven Dwarfs are you most like?

Sneezy
Dopey
Grumpy
Bashful
Sleepy
Happy
that other guy nobody remembers
DWARF? I am Snow White!

What type of music do you like? (check all that apply)

Rock
Rap
Country
Christian Rock
R&B
Pop
Hymns and Sacred Music
Any type, I just love music
Whatever's on the radio

Which would you rather be? (select one in each row)

smart good-looking
funny athletic
rich famous
shark snake
clown mime
cool clever

What is the name of one person you know who is unsaved?

Do you believe that person will go to hell if they died today?

yes
no

Would you be willing to die for that person?

yes
no

If you could visit any country where would it be?

If God told you to move to a poor country to tell others about Jesus, would you go?

yes
no

What are some things or people you would like me to pray for?

(Privacy Statement: The information gathered by this survey will only be used by the staff of Harvest Baptist Church for the purposes expressed or to create statistics and will not be shared with any outside organization. Any statitics created with this information will only be used publicly in a strictly anonymous manner.)