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Church Assessment Form
The Dakota Baptist Convention has developed this tool as a means to help your church with revitalization. This is part of our strategy for revitalization in the local church in four phases. Evaluate, Educate, Empower and Encourage.

This is a survey for Church Revitalization. For more information or assistance contact Jeff at (701) 818-8801 or
Email address *
Please fill out this form as completely as possible
The first page of this survey is a general information piece. The additional pages are to help provide a fuller picture for evaluation purposes. You may choose to fill out only the first page and then skip to the last page to submit the form, but I would encourage you to take the time to consider the questions on the pages 2-5. There are just over twenty questions in total.
Church Name *
Your answer
Contact Person (if filling out as a church leader)
Your answer
Phone Number
Your answer
Revitalization Categories *
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