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15. Have you ever been an open BACKSLIDER? ______________
If so, how long? ________________________________________
16. Why? _________________________________________________________________
Date of your Restoration? ___________________
17. Are you in DEBT? __________________
If so, how much? ______________________
18. How long owing? ______________________________________________________
__________________________________________________________________________
19. Did you ever use Intoxicating Drink? _____________
If so, how long is it since you entirely gave up its use? ________________
20. Did you ever use Tobacco or Snuff? _________
If so, how long is it since you gave up using either? ____________________
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