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Formulir Konseling YASKI |
YASKI Counceling Form
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Email
*
Your email
Nama |
Name
*
Your answer
Jenis Kelamin |
Gender
*
Pria
Wanita
Usia |
Age
*
Your answer
Alamat |
Address
*
Your answer
Kota |
Town
*
Your answer
No. Telepon/WhatsApp |
Phone Number/WhatsApp
*
Your answer
Pergumulan Yang Sedang Dihadapi |
Current Struggles
*
Ingin menerima Yesus sebagai Juruslamat | Want to accept Jesus as Savior
Pergumulan Kesehatan | Health Struggle
Pergumulan Hubungan Keluarga | Family Relationship Struggles
Pergumulan Financial | Financial Struggle
Other:
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