XY Code Survey Question Title * 1. What is your gender? Female Male Question Title * 2. How old are you? Under 25 25-34 35-44 45-54 55 or older Question Title * 3. Are you married, and if so how long? Living together Engaged Separated Divorced Less than a year 1-2 years 3-7 years 8-15 years 16-24 years 21-25 years 26 or more years Other (please specify) Question Title * 4. How often do you attend a religious service (including small groups, bible studies, etc) Less than once a month Once a month Two or three times a month Weekly More than once a week Question Title * 5. Overall, how are we doing with the XY code so far? Bad Not very well Okay Good Great Question Title * 6. Comments and questions (optional) Done