So that we may serve you and others more efficiently, please complete this confidential survey:

Age    

            (Please select one) Under 18 18-30 31-40 41-50 51-60 61 and Over

Gender          

                Male        Female

Marital Status  

            (Please select one) Single Married Divorced Widowed

Where do you live?

            (Please select one) Northeast Southeast Northwest Southwest South America Europe Africa Caribbean Asia Other   Please indicate your city and state:

Church Background   

            (Please select one) Baptist Pentecostal AME/Methodist COGIC Apostolic Nondenominational Catholic Presbyterian Charismatic Lutheran Other Other:

Educational Background   

            (Please select one) General Equivalency Diploma High School Diploma Associate's Degree Bachelor of Arts/Science Master's Degree Ph.D. Other In What Field?

Income Range (optional)

(Please select one) Under $20,000 $20,000-40,000 $41,000-60,000 $61,000-80,000 $81,000-100,000 $101,000-150,000 $150,000-200,000 Other Other:

Cultural Background

(Please select one) African American Caucasian Hispanic Asian Other Other:

How did you first hear about this ministry?

(Please select one) Church service Article Television/radio appearance Internet Friend Audio or Video Other Other:

What Christian television and radio stations are available to you? (Please check all that apply. Please list others below.)

            Trinity Broadcasting Network     The Word Network      The Church Channel      INSP    

            Sheridan Broadcasting Network   XM Radio     Internet Radio     Black Family Channel

How do you access Christian television in your area?

            Direct TV     Cable Access   Local TV  Public Access Internet Other:
           

            If you listed Cable Access, what cable company do you subscribe to?

List some of your favorite websites.

What topics are you interested in? (Please check all that apply. Please list other topics below.)

            Bible Study    Evangelism     Other Religions     Women's/Men's Issues   

            Sexuality/Relationships     Children/Youth    Family Issues    Prayer

What type of products do you prefer? (Please check all that apply. Please list other product below.)

            Videos    Books     Audiocassette series     DVD    CD        Audiocassette    

Have you purchased products from this ministry? Yes    No

            If so, how have you purchased these materials? (Please check all that apply.)

            By mail  At ministry engagements Through the Internet    At a bookstore   

            By phone    Other

            How often do you order?    

            Were you satisfied with the service you received?      Yes    No

        Please list your favorite three (3) series or tape titles.

Have you financially supported this ministry? Yes    No  If so, how much have you contributed?

(Please select one) Under $50 $50 $100 $500 $1000 $5000 $10,000 Other Other:

What areas of the ministry are you familiar with? (Please check all that apply.)

            Daughters of Rizpah  The Phillips Scholarship Fund Biblion - The Family Bookstore

            The WordAlive Crusade    The Rizpah Heritage Awards   

What areas of the ministry have you supported? (Please check all that apply.)

            Daughters of Rizpah  The Phillips Scholarship Fund Biblion - The Family Bookstore

            The WordAlive Crusade    The Rizpah Heritage Awards   

What areas of the ministry would you like to know more about? (Please check all that apply.)

            Daughters of Rizpah  The Phillips Scholarship Fund Biblion - The Family Bookstore

            The WordAlive Crusade    The Rizpah Heritage Awards   

Would you like to become a Guardian of the Vision (a regular financial supporter of the ministry)?        

            Yes    No   Already a GOV

             If so, on what level? (Please select one) Purple ($201-500 monthly) Gray ($51-200 monthly) Blue ($10-50 monthly)

Please indicate four ways that the ministry can serve you better:

Would you like to be added to our mailing list? Yes    No

           If so, please include your contact information below:

Name
Address
City
State
Zip
E-mail
Tel
FAX

Please share any other comments below:

Thank you for your kind cooperation!