Demographic Information

Before the survey, please tell us a little about yourself.

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* 1. Full Name:

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* 2. Are you Catholic?

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* 3. If you are Catholic, what is your diocese or archdiocese?

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* 4. If you are Catholic, what is your parish (and city)?

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* 5. Zip Code (where you live):

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* 6. Age:

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* 7. E-mail Address (this is optional, enter if you would like to receive updates and additional information regarding the Pastoral Letter on Poverty)

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