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CONTACT INFORMATION Date of visit: Number of listener (s): Contact name (s): Contact address (es): Contact phone (s): TEAM INFORMATION Trainer name (s): Trainee name (s): Smiler name (s): TYPE OF CONTACT Church visitor (Awana, SS, VBS, The Book, Benevolent, Sunday Worship, other): Questionnaire public (location?): Questionnaire door to door (neighborhood?): Referral (by whom?): Family (of which family?): Friend (to whom?): Other (comments) INTRODUCTION SUMMARY No introduction (comments): Introduction not completed (comments): Introduction completed (comments): Questionnaire only (comments): Friendly visit (comments): QUESTION SUMMARY Answer (s) to first diagnostic question: Answer (s) to second diagnostic question: GOSPEL SUMMARY Gospel presented-Trainee (comments): Gospel presented Profession (comments): Gospel presented Rejection (comments): Gospel presented No Decision (comments): Gospel presented for Assurance (comments): COMMITMENT SUMMARY Already Christian (comments): Prayer for assurance (comments): Prayer for the gift of eternal life (comments): DISCIPLESHIP SUMMARY Immediate discipleship completed (comments): Immediate discipleship abbreviated (comments): Appointment for 7-day call back made (date and time): Appointment for church visit made (date and time): VISIT SUMMARY (comments): SEND TO Dale C. Garside / 107 Fern Valley Dr. / Toccoa, GA 30577 / ph: 706-282-7011 / email: dgarside@eclions.net |