Light The Night Response Form

Name

Street Address

City, State, Zip Code

E-mail Address

Please take a few minutes to give us your feed back on your experience with the "Light the Night" (LTN) activity sponsored in your area:

1. I attended the "Light the Night" Host Home at (Please enter LTN Host Home Address:)

2. The "Light the Night" experience was very entertaining.

Strongly Agree

Agree

Disagree

Strongly Disagree

3. The Literature distributed was very informative.

Strongly Agree

Agree

Disagree

Strongly Disagree

4. The Host Family was welcoming.

Stongly Agree

Agree

Disagree

Strongly Disagree

5. This experience is a good way to tell people about the love of God.

Storngly Agree

Agree

Disagree

Strongly Disagree

6. I am affiliated with a local church. Church name (optional)

7. I am not a member of a local church. Yes No

8. I am interested in learning more about Charleston First Assembly of God.

Yes No If yes, contact information:

9. I am interested in participating in more neighborhood activities like this one.

Strongly Agree

Agree

Disagree

Strongly Disagree

10. A great neighborhood activity that you could sponsor is:

Thank you for your participation in helping us to improve

our ministry to the Charleston Community.

God Bless you and we invite you to explore

our website to get to know us better.