1. Do you feel and know yourself to be a sinner? A great sinner? A sinner not only in thoughts, words, and actions, but a sinner in the very core of your being—your inner motives and heart being nothing but sin? (Jer. 17:9; Ps. 51:5; Rom. 3:10; Is. 64:6; Ps. 38:4)

Yes
No

2. Do you see that the very best things that you do are polluted with sin and that you can never do anything that is truly good? Have you learned that your very best works are sinful and only increase your need for the Lord Jesus Christ? (Is. 64:6; Gen. 6:5; Rom. 7:18)

Yes
No

3. Are you yet living without God in the world? Are you careless about your soul? Are you dead in trespasses and sins? Are you in love with the world? Do you care little for the blood and cross of Jesus Christ? (Is. 53:2; Eph. 2:1-3; Phil. 3:18-19; James 4:4)

Yes
No

4. Have you learned by personal experience that you cannot save yourself, or be saved by your own works? Have you learned, not because you were told by others, but because you found it to be true in your own experience, that Jesus alone can and must save you? (Phil. 3:4-8; 2 Tim. 1:9; Titus 3:5; Ps. 62:5; Ps. 142:4-5; Mark 5:25-28)

Yes
No

5. Do you love sinful, worldly pleasures? Do the things of this world have more value to you than your soul? (1 John 2:15-17; James 4:4; Heb. 11:25; Mark 8:36; Luke 8:14)

Yes
No

6. Do you find hope and comfort in the Gospel of Jesus Christ? Do you truly find the Gospel to be so suitable and sufficient for the every need of your sin-weary soul? Although everything is hopeless in yourself, do you flee for refuge and salvation to the Lord Jesus? (Phil. 3:8-10; 1 John 1:7; Matt. 11:28; 2 Sam. 3:25; 1 Cor. 1:18; John 12:21)

Yes
No

7. Do you know what it is to cry and pray to God for His mercy? Do you desire your sins to be removed / covered / forgiven / blotted out? (Ps. 51; Luke 18:13; Mark 10:47-48)

Yes
No

8. Has the carnal world and all ungodly pleasures, that once had so much attraction, lost their glamour and beauty to you? (Heb. 11:16, 24-27; Phil. 3:18-19; James 4:4; 1 John 2:15-17)

Yes
No

9. Has the existence of hell, heaven, and other spiritual realities, become in some manner real to you? Do you live in the perspective of eternity? (2 Cor. 4:4; 2 Peter 3:3-14)

Yes
No

10. Do you realize that in yourself, you remain a wretched sinner who continually needs the cleansing blood of Jesus? Do you experience that you have no spiritual strength or power in yourself, and that without Christ you can do nothing? (1 Tim. 1:15; Rom. 7:24-25; John 15:5)

Yes
No

11. Is communion with God your greatest desire and goal? Are you ever sad because you miss God? Do you ever have times of sweet communion with God? Do you love the Word of God? (Ps. 42:1-2; Ps. 119:103)

Yes
No

12. Is sin your worst enemy? Do you hate sin? Do you long/desire to be holy? Does sin bring sadness in your heart? (Phil. 3:20-21; Ps. 119:128; Prov. 8:13; Ps. 38:4-6: Matt. 5:4)

Yes
No

13. Is Jesus Christ everything to you? Do you desire none other to have your heart? Is your deepest desire to be ever with Him, to see Him, to sit at His feet, to hear His voice, and to rest in the arms of His love? (John 6:68; Song. 3:1-4, 8:14; Luke 10:39; Phil. 3:10)

Yes
No

14. Does the beauty and glory of Christ spoil you for ungodly pleasures? Has Christ tenderly, powerfully, and irresistibly drawn your heart away from the world and to Himself? Has everything lost its attraction in comparison to the beauty and love of your Savior?

Yes
No

15. Does your heart fully agree with the following confession?

"I see Him to be exactly the Christ I need―His fullness meets my emptiness―His blood cleanses my guilt―His grace subdues my sin―His patience bears with my infirmities―His gentleness succors my weakness―His love quickens my obedience―His sympathy soothes my sorrows―His beauty charms my eye. He is just the Savior, just the Christ I need, and no words can describe His preciousness to my soul!" – (quote by O. Winslow)

Yes
No

16. Do you know the ongoing experience of misery, deliverance, and gratitude? (Check all that apply)

Misery – Do you know by experience what it means to repent from sin? Do you ever experience sorrow of heart because you miss God?
Deliverance – Are you seeking for salvation in Christ alone? Do you personally know that your sins, which are many, are forgiven you?
Gratitude/thankfulness – Do you long for holiness? Do you hunger and thirst for Jesus Christ and His righteousness? Do you have a reverential awe and adoration of God? Do you hate sin? Do you pursue holiness? Do you love all three Persons of the blessed Trinity? (Matt. 5:3-12)

17. What do you think of Christ? Is He all sweet, fair, precious, lovely, and beautiful to you? Do you long/desire to be pure and holy like Him? (Matt. 22:41; 1 Peter 2:7; Song. 5:16)

Yes
No

18. Have you been made spiritually alive? Have all things become new? Do you have new thoughts, new desires, and new interests? Do you now love the things that you formerly hated and do you now hate the things that you formerly loved? (Luke 15:32; Rom. 4:17; John 11:25; Rev. 21:5; 2 Cor. 5:17)

Yes
No

19. Are you engaged in spiritual warfare? Do you fight against indwelling sin? Do you seek to crucify and put to death the works of the flesh? (Rom. 6:2, 6, 12-13, 16; Rom. 7:18-25; Rom. 8:13; Gal. 5:17, 24; Eph. 6:12)

Yes
No

20. Do you desire to love God with all your heart, with all your soul, with all your mind, and with all your strength? Do you at times, or even often, long for the day when you will love Him with an un-sinning heart? (Mat. 6:24; Mark 12:29-31; 1 Cor. 13:1-13)

Yes
No

21. Do you desire only what God gives, or do you love God for who He is? Do you desire God, HIMSELF? Do you love the Person and character of God? Augustine: "All that Thou givest will not profit me if Thou dost not give me Thyself."

Yes, I desire God for who He is.
No, I only desire the things that God gives.

22. Do you care about the spiritual needs of others? Are you merciful? Are you a peacemaker? Are you gentle? Are you compassionate? Are you kind? Are you loving? (1 John 3:17, 4:7-8, 20; Matt 5:5,7,9)

Yes
No

23. Consider and respond to the following:

A. Is it possible for someone to assume that he/she is a Christian and yet be wrong. (Matt. 7:22; 25:1-13; Luke 6:49, Titus 1:16; 2 Tim. 3:5; Rev. 3:17)

Yes
No

B. Would you be happy if everyone around you thought that you were a Christian, even though you knew in your heart that you were not safe in Christ? (Ps. 49:18; Matt.15:14; Rom. 2:29)

Yes
No

C. What really matters most of all is what God, who searches my inmost heart, thinks of me. I should ask myself: Does God see His own saving work in my life? Does He see the blood of His Son on my heart? Am I built upon the Rock, Christ Jesus? (Jer. 17:10; Ps. 139:23; Matt. 7:24; Luke 6:48)

I agree.
I disagree.

24. “…With respect to those, who are members of the Church, they may be known by the marks of Christians: namely, by faith; and when they have received Jesus Christ the only Savior, they avoid sin, follow after righteousness, love the true God and their neighbor, neither turn aside to the right or left, and crucify the flesh with the works thereof. But this is not to be understood, as if there did not remain in them great infirmities; but they fight against them through the Spirit, all the days of their life, continually taking their refuge in the blood, death, passion and obedience of our Lord Jesus Christ, ‘in whom they have remission of sins, through faith in Him.” (Article 29 of the Belgic Confession of Faith)

I have read and I fully agree with the above article.

25. The reality of salvation is best known at the present. Do you now, in the present, experience times of personal communion with God through Christ? Do you desire now to be holy? Can you say in truth: “I hate sin”? Does sin grieve you? Do you long to know more and see more of Christ? Do you at the present see beauty in Christ and His sacrifice for sin? Do you in the present still flee to Jesus, cling to Jesus, live out of Jesus?

In honesty before God, I can say YES to the questions in the above paragraph.

I cannot honestly answer yes to all of the questions in the above paragraph.

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