Phone number *
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Marital status *
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Do you believe that Jesus is the only way to heaven? *
Select… Yes No I don't know
Do your agree with the Bible's definition of marriage as being between one man and one woman? *
Select… Yes No I don't know
Do you have any concerns with the values and teachings of Element Church? *
Select… Yes No I don't know
Are there areas of your sexual life/identity that are out of alignment with the way Jesus designed that part of our lives to be? *
Select… Yes No I don't know
Are you currently involved in a sexual relationship outside of marriage? *
Select… Yes No
Do you believe that the recreational use of marijuana or the overindulgence of alcohol conflicts with the teachings found in the Bible? *
The Bible says nothing about drinking alcohol being wrong, but it is clear that drinking alcohol to the point of drunkeness, is. Likewise, we believe the prescribed use of medical marijuana use can be beneficial, but the recreational use of marijuana is wrong. The sole purpose of recreational marijuana is to get high. Bible References: Proverbs 20:1, 1 Corinthians 6:18-20, Galatians 5:19-25, Ephesians 5:15-18, & 1 Peter 4:1-6.
Select… Yes No I don't know
Have you used illegal substances in the last year? *
Select… Yes No
Do you have a history of addiction or substance abuse? *
Select… Yes No
Have you ever been arrested and/or convicted of a crime? *
Select… Yes No
Have you ever been accused/convicted of any form of physical/sexual abuse? *
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