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1. Are you Male or Female? (Required.)

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2. What is your current age?

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3. How involved are you at your church?

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4. Have you ever viewed pornography?

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5. At what age did you first view pornography? If you don't remember, a guess is ok. Please enter "0" if you have never viewed pornography.

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6. If you viewed pornography, how did you first come across it?

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7. When was the last time you purposely viewed pornography?

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8. How often do you view pornography?

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9. Do you or others consider you a sex/porn addict?

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10. Are you familiar with the Castimonia Men's Sexual Purity Support & Recovery Group?

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