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Nama Hatta Survey


Please fill out this survey as fully as possible so that we may be able to serve you better.

Please provide the following contact information:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
FAX
E-mail
URL

 

  1. Do you live near an ISKCON Hare Krishna Temple? Yes No

    If yes, which temple do you live near?

  2. Have you ever visited an ISKCON Hare Krishna Temple? Yes No

    If yes; how many times have you visited a temple? once less that 5 times more than 5 times

  3. Do you chant Hare Krishna daily? Yes No

    If yes, how many rounds of the Hare Krishna maha-mantra do you chant everyday?

    If no, would you like to start? Yes No

    1. If you would like to start, how many rounds do you think you could chant every day? (about 5-7 minutes a round)

  4. Have you read any of H.D.G. A.C.Bhaktivedanta Swami's books? Yes No

    If yes: List all the books of H.D.G. A.C.Bhaktivedanta Swami's that you have read cover to cover.


    If no would you like to read his books? Yes No

  5. Are you pure vegetarian?(no meat, fish, chicken , eggs, onions, garlic, coffee or tea)

    Yes No

    If yes: I have been a vegetarian, (Choose one of the following options):

    If no: would you like help in becoming vegetarian? Yes No

  6. Would you like to be contacted by a devotee for more information? Yes No

    I would like more information on :

    Becoming a vegetarian

    Practicing in my home

    Chanting Hare Krishna

    Visiting a Temple near my home

    Reading H.D.G. A.C.Bhaktivedanta Swami's books

    Enrolling in a Home Study Program

    Joining a Nama Hatta group

 

 



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Copyright © 1997 Atlanta ISKCON Nama Hatta Sangha
Last modified: April 3, 1997