Help Us Help You: Complete This Brief Questionnaire 

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* 1. Do you believe that complete freedom from pornography addiction is actually possible for you?

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* 2. Are you a man or woman?

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* 3. What is your email address?

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* 4. Sometimes, we go to pornography because we're actually trying to distract ourselves from something else. Can you relate to using pornography in any of the following circumstances?

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* 5. What would be the most beneficial resource we could offer that lends itself to your personal preferences on growth and learning?

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* 6. If you could ask either of the following two questions about pornography in a private conversation, which would you want to dive deeper into?

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* 7. Which of the following do you think would be the most helpful for you, personally, in your desire for freedom from pornography and lust?

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