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* 1. Sex

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* 2. What is your age?

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* 3. What is your Zip Code (five digits)

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* 4. Email address (this question is optional)

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* 5. Current religious affiliation (if any)

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* 6. What is your most significant need that, if it were met, would help you feel fulfilled and happy? Please, select up to 3 options below.

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* 7. Why have you left the Catholic Church? Please, select up to 3 options below.

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* 8. What would help you consider returning to the Catholic Church. Please, select up to 3 options below.

0 of 8 answered
 

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