1. Internet and Pornography addiction Survey Disclaimer

Prerequisites (only take the survey if you meet ALL of the following):
- Heterosexual male 18 years or older
- You are willing to be honest and open

Things to know:
- All information is strictly confidential and totally anonymous
- We make no attempt to know your identity
- Gathered information is strictly used for doctoral research purposes
- Questions are designed to gain knowledge of your thoughts about your faith, beliefs, background and sexuality
- Take the survey only once
- Data collected from several hundred individuals will be compiled for statistical analysis

Objective of this Research:
- From this analysis, the researcher will collect data on Internet pornography in an effort to complete a doctoral dissertation concerning the subject in an attempt to discover correlations between attachment styles, foundational beliefs and pornography.

Instructions:
- You will be asked a series of questions about your faith, background, beliefs and sexuality
- Please read and answer every question
- Please answer questions honestly and thoughtfully
- There are no right or wrong answers
- Don’t spend too much time thinking about a statement, but respond as genuinely as you can. Your first respond is usually the best response.
- By completing the packet, you give us your consent to collect and analyze the data for research

Your gift of time and thoughtful response are valued greatly

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