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* 1. Are you male or female?

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* 2. What is your age?

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* 3. Which of the following best describes your current relationship status?

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* 4. If married, will your spouse be attending life group with you? 

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* 5. How many children are you parent or guardian for and live in your household (aged 17 or younger only)?

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* 6. What city do you currently live in?

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* 7. What is your full name?

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* 8. What is the best way to contact you? (I.e. email: johnsmith@yahoo.com, phone: 330-330-3300.)

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* 9. What day(s) of the week works best for you? 

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