I only use it in writing or through email. In person it's Pastor or my pastor's first name, which he goes by with everyone. I'm fine with "Reverend" from a Biblical standpoint.
Christ Covenant Reformed Presbyterian Church (RPCGA)
Dallas-Fort Worth Metroplex, TX
"He was immovable in all times, so that they who in the midst of many opinions have lost the view of true religion, may return to him and find it."
-John Geree, The Character of an Old English Puritan, or Non-Conformist (1646)