Please know that all answers are kept private and are for the use of the instructor (Matt Boettger) and Pastor (Father Peter Mussett).

First Name *

Last Name *

Date of Birth +

Upload an image of you: 🛈

Address 1 *

Address 2

City *

State *

Postal Code *

Mobile Phone * 🛈

Email Address *

Your occupation:

Religious History

Have you been Baptized? *

Yes

No

Were you baptized Catholic? *

Yes

No

In which denomination were you baptized? *

Church of Baptism

Date of Baptism +

Have you celebrated your first Holy Communion? *

Yes

No

Have you celebrated the Sacrament of Confirmation? *

Yes

No

Marital Status

Please check all that apply: *

Full Name of Fiancé: *

Religion of Fiancé: *

What is the date of the wedding?

Full Name of Spouse: *

Religion of Spouse: *

What type of wedding did you have? *

Civil

Catholic

Other Christian

Is this your first marriage? *

Yes

No

Faith Questionnaire

When you were a child, was your family religious? *

Yes

No

Please describe your family's feelings/perceptions (if any) toward religion that led to a lack of involvement/belief:

Please describe any type of religious formation, formal or informal, you received as a child:

Have you ever participated in another church or religion as an adult? *

Yes

No

Please list the name(s) of the churches/religions:

Please describe your previous religious experience; at what age(s) and for how long did you participate?

If you wish, describe any people, places, objects or events in your life that you would identify as sacred. What makes them/it stand apart from everyone/everything else?

Describe any experiences of serving others, whether among friends, family, at work or as a volunteer, that have affected your outlook on life: *

What is one of your greatest challenges in life right now and what steps (if any) have you taken to overcome it? 🛈

Do you experience God in your life? *

Yes

No

Please describe how you do or do not experience God in your life right now:

What is your single greatest challenge/weakness in your current spiritual practice (or lack thereof), and what have you done up to this point to find a solution?

What has been your experience with prayer? (Please mention any of the various styles or ways of prayer you have tried. If you currently have a regular practice of prayer, please describe how you pray now.) *

Are you familiar with the Bible? *

Yes

No

Do you presently read it? *

Yes

No

How often do you read the Bible?

Who is Jesus to you in your life now? *

What are some things that attract you to the Catholic Faith? *

What are some things that currently repel you from the Catholic Faith?

What or who has prompted you to seek out religious instruction at this time? What are you looking for in coming to the Catholic Church? Please be specific: *

What do you hope to get out of this process by attending? *

What is your level of interest in the Roman Catholic Church? *

At this time, I am "just looking" and I want to know what Catholic's believe.

I am attracted to the Catholic Christianity. I am considering becoming Catholic.

I am almost certain I want to join the Catholic Church.

I was baptized Catholic and desire to receive the Sacraments of Communion and Confirmation.

I am already Catholic and desire to receive the Sacrament of Confirmation.

I am already Catholic and want to refresh my knowledge/faith.

Other

If you wish, please explain:

Do you know any Catholics in this parish? *

Yes

No

Please list their names below (and if applicable, indicate how they have helped you spiritually or otherwise):

What do you presently value in your life? *

Please list any hobbies and/or spiritual/religious topics of interest:

Is there any other way we might be of help to you? Do you have any specific questions, special needs, or concerns at this time? Please feel free to write down any other information that you think would help our pastoral staff give you the guidance you need to help your spiritual journey.

Single	Engaged	Married	Separated
Divorced	Annulled	Widowed