Your Name

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Date of Your Visit (Desktop/Laptops: Please follow this format: YYYY-MM-DD. Thank You!)

WHAT SERVICE OR SERVICES DID YOU ATTEND? (Desktop/Laptops: Please use your cursor to select from the following:)

Sunday SchoolSunday AM WorshipSunday PM WorshipWednesday WorshipOther

If Other, please specify by name of special speaker, or occasion:

ON A SCALE OF 1-10, 10 BEING BEST, HOW WOULD YOU RATE YOUR EXPERIENCE IN THE FOLLOWING CATEGORIES:

Music/Worship: 01020304050607080910

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Facilities: 01020304050607080910

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Friendliness: 01020304050607080910

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Nursery (If you used our nursery): 01020304050607080910

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Sunday School (If you had children in our Sunday School): 01020304050607080910

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Junior Church (If you had children in our Junior Church): 01020304050607080910

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Your Registration Experience: 01020304050607080910

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How Likely Are You To Return?: 01020304050607080910

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How likely are you to recommend the Lighthouse to others: 01020304050607080910

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Your Email (If the same as given above, you may leave this field blank)

Contact Number (Please use the following format: ###-###-####. Thank You!

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