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Editor's note: This document appears here unedited. ___________________________________

BUDDY REPORT

Date of Entry:

Filed by:

Buddy Name:

Age/Birth date:

Address:

Phone: (H/W)

Religious Affiliation:

Faithful Attendance? Y N

Spouse's religious affiliation:

F(aithful) Attendance? Y N

Occupation:

Place of Employment (Current):

Pertinent Work History:

Educational History:

Health Information: Rate physical health (check one): Very good____Good____
Average____Declining____Other____Specify:_____________

Significant Past History (Severe Illnesses, handicaps. allergies, medications, etc)

Other Current (Sensitive to stress, frequent headaches, stomach problems, etc)

Introduced to MOG How/When?

Past religious affiliation (if changed):

Pre-MOG Religious experiences:

Any involvement with cults?

Data on Healings or Healings Needed:

Sin areas:

*Angers/resentments/bitterness/lack of forgiveness

*Sexuality

*Lying/Deceit

*Alcohol/Drugs

*Occult

*Stealing

*Disobedience

*Moodiness

Fears/Hurts:

Previous Marriage? (Broken how? divorce/death)

Other (Stability/discipline/nervousness/complacency/moral man, etc)

Family History:

Affection/Discipline-upbringing:

Significant family problems-upbringing:

Parent's marital history

Own family:

Comment on role as spouse:

Teachableness (Accepts/sees need for MOG Teaching?):

Comment or Role as Parent:

Teachableness:

Sexual relationship with spouse:

Spiritual Life:

Faithful to SNPM?

Faithful to GIF (MC)?

Faithful to MMP?

(Faithful to) Sabbath?

Personal prayer -- How Often?

Set time/place/duration?

Hear God speak?

Scripture Reading -- How Often?
Set time/place/duration?

Hear God speak?

Significant Blessed Moments:

Conversion Experience (Explain):

Teachableness (Accepts how much of GIF Teaching?):

Known Problems with MOG Teaching:

Old ideas (refuses to part with):

Friendships/Brotherhood: (w/you) (Friendships/Brotherhood:) (w/others)

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