Confidential Personal Inventory
By providing us the information below you will help us pray for you and be prepared to help you when you have your Steps to Freedom appointment.   The information below WILL BE KEPT CONFIDENTIAL (only we will see it) and deleted once the session is over.  There are 7 sections to be filled out, so please set aside 20-30 minutes of uninterrupted time.
Sign in to Google to save your progress. Learn more
Email *
First and Last Name (Use your initials if you prefer) *
Gender *
Local Church
If married, for how long? *
If you've ever been divorced, how long ago was it?
Clear selection
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy