| QuestionPro Survey

Questions marked with a * are required

Welcome to The Well! 👋 🙂 We are so excited that you've joined us, and we'd love to help you get connected with others in our community! By filing out this connect form we'll connect you to the right people!

What best describes your connection to The Well?

It's my first time!

I've come around 2–3 times.

I've come 4+ Sundays.

I'm a covenant member.

Which of these statements apply to you?

I'm not a Christian, but I'm curious about Jesus.

I'm not a Christian, but I'm ready to give my life to Jesus.

I'm interested in getting baptized.

I'm currently looking for a new church.

I'm interested in becoming a member and going through the Covenant Community Class.

First Name

Last Name

Email

Street address

Apt/Unit/Box

City

State

Zip code

Phone Number

Birthday

Gender

Male

Female

Are you a college student?

Yes

No

What is your parental status? (Select all that apply)

I'm a biological parent

I'm a foster parent

I'm an adoptive parent

I'm not a parent

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