God would like to thank you for your belief and patronage. In order to better serve your needs, He asks that you take a few moments to answer the following questions.

Please keep in mind that your responses will be kept completely confidential, and that you need not disclose your name or address unless you prefer a direct response to comments or suggestions.

How did you find out about God?

__ Newspaper
__ Television
__ Word of mouth
__ Torah
__ Bible
__ Koran
__ Other Book
__ Divine Inspiration
__ Near Death Experience
__ Friend or Relative
__ Other: ____________

Are you currently using any other source of inspiration in addition to God? Please check all that apply.

__ Tarot
__ Horoscope
__ Fortune cookies
__ Self-help books
__ Biorythms
__ Mantras
__ Insurance policies
__ Lottery
__ Television
__ Ann Landers
__ Sex
__ Alcohol or drugs
__ Other: ____________
__ None

God employs a limited degree of Divine Intervention to preserve the balanced level of felt presence and blind faith. Which would you prefer (circle one)?

a. More Divine Intervention
b. Less Divine Intervention
c. Current level of Divine Intervention is just right
d. Don't know

God also attempts to maintain a balanced level of disasters and miracles. Please rate on a scale of 1 - 5 his handling of the following (1=unsatisfactory, 5=excellent):
a. Disasters (flood, famine, earthquake, war)
1 2 3 4 5

b. Miracles (rescues, spontaneous remission of disease, sports upsets)
1 2 3 4 5

Do you have any additional comments or suggestions for improving the quality of God's services? (Attach an additional sheet if necessary):
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

Bless you!