This paper draws on John Fisher's formative definition of spiritual health as comprising good relationships within four domains (the personal, the communal, the environmental and the transcendental) and uses the operationalization of these constructs proposed by Francis and Robbins (2005). Comparisons are made between the responses of five groups of 13- to 15-year-olds who report weekly church attendance: 1,549 Anglicans, 1,458 Roman Catholics, 830 members of one of the Free Churches, 212 members of one of the Pentecostal churches, and 212 Jehovah's Witnesses. The data demonstrate significant variations in the levels of spiritual health reported by weekly churchgoers according to denominational affiliation. The conclusion is drawn that denominational affiliation needs to be taken into account alongside frequency of church attendance in constructing a view of the relationship between Christian practice and spiritual health during the adolescent years. (Contains 4 tables.)