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* 1. How likely are you to attend a support group if one was available?

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* 2. Are you more likely to attend groups hosted at your church or groups hosted at locations other than your church?

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* 3. Who do you call when you need emotional support?

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* 4. Please rank the following topics in order of interest to you with #1 being of greatest interest and #6 of least interest.

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* 5. What day of the week would be most convenient for you to attend a support group?

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* 6. What time of day would be the most convenient for you to attend a support group?

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* 7. What amount would you be willing to pay to attend a support group?

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* 8. What is your gender?

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* 9. What is your age?

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* 10. If you attend church, what church do you attend?

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