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1. What is your gender? (Required.)

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2. How old are you?? (Required.)

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3. How long have you been married?
(Required.)

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4. Would you say you are a Christian/Follower of Jesus? (Required.)

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5. For this survey, porn use is defined as repeated, intentional, solo viewing of pornography.

Rate how hurtful/harmful/destructive each of the following is. Zero is not hurtful/harmful/destructive, 1 is just a bit, 7 is the worst.
(Required.)

  0 1 2 3 4 5 6 7
Committing adultery
Going to a strip club
Intentionally lusting after people in public
Looking at porn without masturbation
Looking at porn and masturbating
Hiding/lying about porn use

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6. Do you think people can be addicted to porn? (Required.)

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7. Do you think you are addicted to porn? (Required.)

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8. Optional Comments

T