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* 1. How long have you been a member of the church?

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* 2. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 3. How long does it usually take you to travel to church?

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* 4. Which of the following best describes your current relationship status?

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* 6. What is your total household income?

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* 7. How many children are you parent or guardian for and live in your household (aged 17 or younger only)?

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* 8. How many people living in your household are currently 65 years or older?

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* 9. What is your age?

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* 10. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

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