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* 1. Are you Male or Female?

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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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