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* 1. What is the name of the person you served? 

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* 2. What is their email address?

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* 3. What is their phone number?

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* 4. Please select the most appropriate result(s) from the choices below:

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* 5. What is the their gender?

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* 6. Please define the their physical maturity level

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* 7. How did you come into contact with them?

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* 8. Your Name (OCBF Member)

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* 9. As an OCBF Member, what ministry area you under?

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* 10. Please share any personal testimonies, things it would be good for us to know, or ways that we can help encourage. (100 Characters Max) 

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