top of page
Feedback Submission Form

Thank you for reaching out to the Experience Team. We are committed to creating a welcoming, Christ-centered environment where every individual feels valued, respected, and supported. Please use this form to submit any concerns, feedback, or experiences you would like to share. Your submission will be reviewed with care and confidentiality.


Contact Information (Optional)


You may submit anonymously, but providing your contact details allows us to follow up if needed.

 

If you would like to remain anonymous, please enter n/a for first name and last name.

Other Information
Preferred Contact Method (if applicable) Please select all that apply.
Feedback Questions

Type of Submission*

Please select the option that best describes your concern or feedback.

 

-> General Feedback or Suggestion – For sharing ideas or comments about church services, programs, or overall experience.

-> Concern About a Church Service or Event – Issues related to worship services, special events, or gatherings.

-> Facility-Related Issue – Concerns about the church building, maintenance, or accessibility.

-> Interpersonal Conflict – Disputes or tensions between church members that may require mediation.

-> Leadership Concern – Issues related to church leadership, including pastoral staff or ministry leaders.

-> Ethical, Safety, or Legal Concern – Serious matters such as misconduct, harassment, or safety risks that may require Elder Board review.

-> Other – Any additional concerns that don’t fit into the listed categories.

Single choice
General Feedback or Suggestion
Concern About a Church Service or Event
Facility-Related Issue
Leadership Concern
Ethical, Safety, or Legal Concern
Other
Preferred Resolution Approach* How would you like this concern to be handled?
Confidentiality Preferences
By submitting this form, I understand that my concern will be reviewed in accordance with Revive Church’s Experience Team process. If my submission is escalated, it will be handled with confidentiality and care.
I understand and agree
ChatGPT Image Jul 2, 2026 at 10_07_33 PM.png

REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH REVIVE CHURCH

Let's Connect

     Stay connected with us on social media:

                                         Revive Church

  • Facebook
  • Instagram
  • YouTube
  • TikTok

© 2026 Proudly created by Revive Media

bottom of page