Covenant Warriors Confidential Personal Deliverance Inventory
All questions in section one are required. You will loose all of your previous answers and the form will not submit if not filled out.
2 Corinthians 13:5 Examine yourselves, whether ye be in the faith; prove your own selves. Know ye not your own selves, how that Jesus Christ is in you, except ye be reprobate?
You can either fill this form out on line or you can
download the form
and mail it to us at
Covenant Warriors Org
POB 393
Springtown, Tx
76082
Section 1
1. Personal Information:
Name:
Address:
City:
County:
State/Province:
Country:
Ethnic Background:
Home Phone:
Other Phone:
Email:(if more than one please separate with commas)
Instant Messenger:(Please indicate the messenger(s) that you use)
2. Church Affiliation
Present:
Pastors Name:
Past Church:
Pastors Name:
Attendance:
Tithe:
Love Offering:
Date Saved:
Date Water Baptized
Date Holy Spirit Baptized:
3. Martial Status
Previous Marriage/Divorce:
Current Marriage Children:
Previous Marriage Children:
Friends length known:
Friends length known:
4. Vocation/Job
Education:
Present:
Past:
Income:
Luke 11:36 If thy whole body therefore be full of light, having no part dark, the whole shall be full of light, as when the bright shining of a candle doth give thee light.
Section 2
On a level of 1-4, 4 being the highest/best; What is your spiritual condition in Christ right now? 1= Saved, I think; 2= Saved, I know but; 3= Heaven, If I can only; 4= Heaven bound, How big is my mansion, Lord?
2 Timothy 2:15 Study to shew thyself approved unto God, a workman that needeth not to be ashamed, rightly dividing the word of truth.
If you did die and appeared before God and HE asked you "Why should I allow you into my Heaven?" How would you answer HIM?
How often do you attend a bible believing and preaching Church?
Do you attend Sunday School and what do you enjoy most about it?
Do you have regular personal devotions in the bible and to what extent?
How often do you pray and for how long?
2 Peter 1:10 Wherefore the rather, brethren, give diligence to make you calling and election sure: for if ye do these things, ye shall never fall.
What is your favorite bible verse, if any? Please explain.
What is your least liked bible verse if any? Please explain.
What kind of fellowship are you presently enjoying with other believers?
Which do you regularly support your church with: tithes, talent, and time? Please explain.
Which ministries do you regularly support with your love offerings? Please explain.
Leviticus 23:22 And when ye reap the harvest of your land thou shalt not make clean riddance of the corners of thy field when thou reapest, neither shalt thou gather any gleaning of thy harvest: thou shalt leave them unto the poor, and to the stranger: I am the LORD your God.
Of the activities listed below which have you; in any way, no matter how innocent it may have seemed been involved with. Even if it was only once. Indicate in the box any of the below that your family members have had any involvement with a P (parents), GP (grandparents), C (children), B (brothers) or S (sisters).
Occult
Astral Projection
Astrology
Aura's
Automatic writing
Blood pacts
Clairvoyance
Crystal Ball
Dowsing
Energy Forces
ESP
Spirits of Dead people
Fortune-telling
Ghosts
Healing, magnetism
Hypnosis
Life forces
Magic charming
Materialization
Meta-physical
Mind Control
Ouija Board
Palm-reading
Point of contact objects
Rod & Pendulum
Seance's
Self-hypnosis
Sexual spirits
Speaking in a trance
Rhyming
Spoon bending
Table lifting
Telekinesis
Telepathy
Visionary Dreams
Water Witching
White Magic
Deuteronomy 11:16 Take heed to yourselves, that you heart be no deceived, and ye turn aside, and serve other gods, and worship them;
Galatians 4:8 Howbeit then, when ye knew not God, ye did service unto them which by nature are no gods
Cults/Religions
Bahaism
Black Muslim
Brahmanism
Buddhism
Catholic
Children of God
Christian Science
Church of the Living Word
Eckankar
Father Devine
H. W. Armstrong's
Hare Krishna
Hinduism
Islam
Jehovah's Witness
Lord Matayah
Masons
Mormonism
New Age
Rev. Moon
Rosicucian
Roy Masters
Creative Intelligence
Science of Mind
Scientology
Silva Mind Control
Swedenborgian
The Way International
Unitarian
Theosophical Society
Unification Church
Unity
Wicca
Worldwide Church of God
Yoga
Zen
Transcendental Meditation
Theophstic Ministry
Other
Martial Arts
UFO's
Light as a feather
Bloody Mary
Video Games
Diablo
Pokemon
Dungeons & Dragons
1 Corinthians 10:20 But I say, that the things which the Gentiles sacrifice to devils, and not to God: and I would not that y should have fellowship with devils.
Please explain any spiritual experiences that you have had that would be considered out of the ordinary or unusual?
Have you ever been through deliverance? Please explain.
Genesis 31:11 And the angel of God spake unto me in a dream, saying, Jacob: And I said, Here am I.
Section 3:
Are you adopted? Please explain.
Please explain when and how your great grandparents died.
Please explain the religious faith of your great grandparents.
Please explain the kind of relationship that your great grandparents had with your grandparents.
Numbers 14:18 The LORD is longsuffering, and of great mercy, forgiving iniquity and transgression, and by no means clearing the guilty, visiting the iniquity of the fathers upon the children unto the third and fourth generation.
Please list the known sins of your great grandparents.
Are your grandparents alive? Please explain when and how they passed or their current location.
Please explain the religious faith of your grandparents.
Please explain the kind of relationship that your grandparents had with your parents.
Please list the known sins of your grandparents.
Job 5:5-7 Whose harvest the hungry eateth up, and taketh it even out of the thorns, and the robber swalloweth up their substance. Although affliction cometh not forth of the dust, neither doth trouble spring out of the ground; Yet man is born unto trouble as the sparks fly upward.
Are your parents alive? Please explain when and how they passed or their current location.
Please explain the religious faith of your parents.
Please explain the kind of relationship that your parents had with each other.
Please list the known sins of your parents.
Are all of your children alive? Please explain when and how they passed or their current location.
Isaiah 55:7 Let the wicked forsake his way, and the unrighteous man his thoughts: and let him return unto the LORD, and he will have mercy upon him; and to our God, for he will abundantly pardon.
Please explain the religious faith of your children?
Please explain the kind of relationship that you have had with your children.
Have you had someone close to you die? Explain.
Is there a history of mental illness in your family line? Please explain.
Is there a history of physical sickness ' or ailments in your family line? Explain.
Hebrews 12:15 Looking diligently lest any man fail of the grace of God; lest any root of bitterness springing up trouble you, and thereby many be defiled;
List all known organizations that your family line may have been part of: Rotary Club, Masons, Shriners, Association of Freedom, Green Tree (Environment), etc.
Section 4:
What are you feelings about your father and mother?
What are your feelings on Whites, Negroes, Asians, and Hispanics?
Please list the name of individuals that you feel have hurt you in someway and what they did.
Please list the institutions and/or organizations that have hurt you in someway.
Matthew 18:34-35 And his lord was wroth, and delivered hi to the tormentors, till he should pay all that was due to him. So likewise shall my heavenly Father do also unto you, if ye from your hearts forgive not every one his brother their trespasses.
Section 5:
Have you ever had friends or associations that claimed or that you suspected was involved with witchcraft?
Have you ever been hypnotized, attended New Age, Metaphysical seminars, or participate in a seance? Please explain.
Have you ever taken a class or read books on Para-psychology, Astral Projection, or mind control? Please explain.
Please explain if you have ever received acupuncture or other methods of healing.
Are you taking any herbal remedies? Please explain.
2 Chronicles 33:6 And he caused his children to pass through the fire in the valley of the son of Hinnom: also he observed times, and used enchantments, and used witchcraft, and dealt with familiar spirit, and with wizards: he wrought much evil in the sight of the LORD, to provoke him to anger.
Tell me about any spells or incantations that you have done, including ones that were meant for good purposes.
Do you or have you ever used candles or other items with your praying? Please explain.
What self-help books have you read?
Section 6:
Do you make sure that you do certain things to keep you healthy and safe? (example: take salt baths each month, keep a pitcher full of water, keep certain items under your bed or pillow; keep an item always with you).
Galatians 3:13 Christ hath redeemed us from the curse of the law, being made a curse for us: for it is written, Cursed is every one that hangeth on a tree:
Do you "collect" certain items? (E.G. angels, owls, dogs, African art, Oriental items, statues, etc.).
What is your house decorated with?
Do you study or research art, peoples, religions, and/or the like as a hobby?
Have you received an unexpected gifts or greeting cards from friends or an unexpected person? Please explain.
Have you ever been given "good luck charms"? Explain.
James 5:12 but above all things, my brethren, swear not, neither by heaven, neither by the earth, neither by any other oath: but let your yea be yea; and your nay, nay: lest ye fall into condemnation.
Have you ever found graffiti or marking on or around your property? Explain as best as you can what you saw.
Have you ever found inappropriate items such as onions, apples, nails, needles, pins, rocks, bones, ashes, glass, candles, or wax, on or around your property? Explain.
Section 7:
Please explain any promises that you have made to God and not fulfilled.
Have you ever knowingly made any promises to satan or to do evil?
Please explain all oaths that you have taken with or for people or organizations.
Proverbs 20:25 it is a snare to the man who devoureth that which is holy, and after vows to make enquiry.
Please explain about the times that you have said or thought things like "I will never be like my mom or dad!"
Please explain about the times that you have said or thought things like "When I grow up I will never do that to my children!"
Have you ever been "blood brothers or sisters" with someone? Please explain.
Have you ever sworn to a life long friendship that has been broken? How or why was it broken?
What promises have you made that you have not been able to keep?
1 John 4:18 There is no fear in love; but perfect love casteth out fear: because fear hath torment. He that feareth not made perfect in love.
Section 8:
Tell me about your 3 most scariest experiences.
Please explain the 3 worst things that you have ever done.
Please explain your saddest moment.
Have you ever gotten a divorce? Please explain.
Have you ever been physically beaten, raped, or molested? Please give a short description: who was involved; where did it take place, how old were you, etc.
1 Samuel 15:23 For rebellion is as the sin of witchcraft, and stubbornness is as iniquity and idolatry...
Section 9:
Explain any legal problems you have had.
Have you ever attempted suicide or seriously considered it an option? Please explain.
How many sexual partners have you had and who were they?
Do you masturbate?
What sin(s) seem to be constantly repeated in your life?
1 John 1:9 If we confess our sin, he is faithful and just to forgive us our sins, and to cleanse us from all unrighteousness.
Please list all of your known sins.
What is the latest church rumor and how did you find out about it?
Section 10:
List the people who live with you and state the relationship.
Do you have any addictions?
Confess your faults one to another, and pray for another, that ye may be healed. The effectual fervent prayer of a righteous man availeth much.
Do you or have you experienced sleeping problems, nightmares, disturbances? Please explain.
Have you ever heard voices or had repeating and nagging thoughts?
Do you experience unexplained illness'?
Do you sometimes have strange tics, muscle spasms, etc.?
Have you ever gotten inappropriate "pictures" or thoughts in your mind while praying?
1 Peter 2:20 For what sort of hour is it--if, committing sin, and being buffeted, ye endure it? But, if, doing good, and suffering, ye endure it, this, is thankworthy with God.
Do you have other difficulties when praying?
When attending church or other Christian functions do or have you gotten inappropriate or unusual images, thoughts, urgings?
Have you ever had physical discomfort when attending church or other Christian functions such as: light headedness, racing heart, sudden sleepiness, stomach problems, headaches, etc? Explain.
Does it seem like every time you start getting close to the Lord Jesus Christ that something happens and you fall away or back slide? Explain.
Do you have significant gaps in your memory of your childhood or adult life? Explain.
Psalms 7:2 Lest he tear my soul like a lion, rending it in pieces, while there is none to deliver.
Do you find that you have purchased things that you don't remember buying? Explain.
Do items seem to find new locations in your house without you remembering moving them? Explain.
Do you sometimes find items or notes around the house that seem like they were hidden? Explain.
Do people tell you that you did or said something that you are sure you didn't? Explain.
Are you currently seeing a psychiatrists or counselors? Please list their name, email and phone.
Psalms 31:7 I will be glad an rejoice in thy mercy: for thou has considered my trouble; thou has known my soul in adversities;
Are you presently taking any medication? Please explain.
Describe your eating habits: overeating, splurging, bulimic, anorexic, etc.
What are you top 3 favorite TV shows?
Psalms 31:10 For my life is spent with grief, and my years with sighing: my strength faileth because of mine iniquity, and my bones are consumed.
What are your top 3 favorite movies?
What types of books do you or have you read?
What types of music do you and have you listened too?