DISCIPLESHIP PATHWAY SPIRITUAL HEALTH ASSESSMENT

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Contact Details

First Name

Last Name

Phone

Campus

Years Attending Rock Church

When did you make a decision to follow Jesus?

SPIRITUAL HEALTH ASSESSMENT

On a scale from 1 (discovering) to 5 (thriving), how would you rate your spiritual health for each of the following:

I read my bible every dayI read my bible a few times a weekI read my bible once a weekI read my bible a few times a monthI read my bible once a month or less

	1	2	3	4	5
I recognize God's voice and seek to obey Him
I am engaged in actively sharing my faith
I am motivated by love for God and others
I prioritize prayer for self and others
I pursue a lifestyle of worship
I live a life empowered by the Holy Spirit
I know and use my gifts to serve others
I faithfully express generosity through my giving
I am engaged in healthy relationships and community
As a follower of Jesus I am making disciples that multiply

Next Steps

Let us know what Next Steps that you have completed (Yes/No):

	Yes	No
Decision to Follow Jesus

If Yes, what year?

	Yes	No
LIFE Class

If Yes, what year?

	Yes	No
Water Baptism

If Yes, what year?

	Yes	No
Kingdom Life (Healing Ministry)

If Yes, what year?

	Yes	No
Join a Group

Who is your Group leader (first & last name)

	Yes	No
Rock Financial Life (Manage Money God’s Way prev. Everything about Money)

If Yes, what year?

	Yes	No
Serve on a Team

What team do you serve on?

	Yes	No
Give Generously

Please select what best describes your giving (can select multiple):

I give regularly

I faithfully tithe (10%)

I give above and beyond my tithe (11%+)

I give towards special opportunities (i.e. Heart for the House, etc.)

	Yes	No
Lead at Rock Church

Please select your role (can select multiple):

Group Leader

Ministry Coach, Team Captain, Team Leader

Pastoral Support Team

Staff Member

Other

	Yes	No
Do you have someone personally pastoring, mentoring, and/or discipling you?

first & last name

NEXT STEPS Option

Let us know what Next Steps that you have completed (Yes/No):

Decision to Follow Jesus

If Yes, what year?

	Yes	No
LIFE Class
Water Baptism
Kingdom Life (Healing Ministry)
Join a Group
Rock Financial Life (Manage Money God’s Way prev. Everything about Money)
Serve on a Team
Give Generously
Lead at Rock Church
Do you have someone personally pastoring, mentoring, and/or discipling you?

Next Steps Option 2

	Yes	No
Decision to Follow Jesus

Year?

	Yes	No
LIFE Class

Year?

	Yes	No
Water Baptism

Year?

	Yes	No
Kingdom Life (Healing Ministry)

Year?

	Yes	No
Rock Financial Life (Manage Money God’s Way prev. Everything about Money)

Year?

Do not create a case

Yes

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