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* 1. What is your gender?

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* 2. What is your age?

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* 3. Is your life as simple as you would like it to be?

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* 4. Which of the following factors complicate your life? (please rank in order of complexity, 1 being most complex)

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* 5. Do you know individuals who live very simple lives?

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* 6. If your answer to the question above was "Yes", what qualities do these people exhibit in their simple lives? (please rank in order of importance, 1 being most important in your observation)

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* 7. If you could make changes in your life to simplify it, what would they be?

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* 8. Please enter any other information you consider relevant to the level of simplicity and/or complexity in your life.

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* 9. Thank you for participating in this survey.  If you would like further information regarding The Simplicity Experiment, please provide your contact information.

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