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1. How old are you?

2. Are you male or female?

3. Which best describes your religion?

4. Tim Tebow frequently refers to using his "platform" as a football player for good. Has Tebow's example caused you to reflect on your own leadership opportunities, capacity to make a difference, or attitude/outlook? Please explain.

5. Tim Tebow is very open about his Christian faith. Has this caused you to reflect on your own beliefs/non-belief?

6. Has Tebow's example prompted you to make a change in your life?

7. Which of the following apply to you? (Check all that apply.)

8. Do you regularly follow NFL football?

9. What is your occupation?

10. Optional: if you are willing to be contacted for follow-up, please add your e-mail address.