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1. Which do you read regularly? (Required.)

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2. What is your gender? (Required.)

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3. How old are you? (Required.)

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4. What is your marital status? (Required.)

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5. If married, how long? (Required.)

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6. How many times have you been married? (Required.)

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7. What race are you? (Required.)

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8. In what part of the world do you live? (Required.)

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9. What Religion/Denomination are you? (Required.)

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10. On average, how often to you attend a religious service/meeting. (Required.)

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11. Any other comments?

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