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* 1. The demographics below are needed to represent you and your message to the Vatican statistically and anonymously in aggregate form. Depending on the volume of responses from your diocese, we may send data to your local bishop.

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* 2. Describe yourself based on the following:

  Gender Religious Status Catholic Standing Level of Satisfaction Age Range
My profile

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* 3. Please place a check mark next to all the topics that were raised by your group in the opening discussion. If you were not part of a group, please check the topics that you feel need reform in the Church.

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* 4. My present circumstance is best described as (check as many as fit your situation):

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* 5. Most Church teaching depicts sex as a necessary means of continuing the species but, in every other sense, it is depicted as a guilty pleasure wrapped in sinfulness. To what degree do you agree with the Church's stance?

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* 6. Indicate your views on how Church teachings should recognize and respect sexual expression in loving relationships.

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* 7. If the Church opts to become non-discriminatory, which of the following women's roles would you support?

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* 8. I am disappointed that the preparatory document sent to all the bishops omitted the need for equality of women, a universal issue remaining as one of the most prominent issues in the Church.

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* 9. Stereotypical gender roles for men and women are no longer valid in society. The Church has ignored this reality. How do you believe that Church teaching should modify its position on gender issues?

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* 10. In order to become a sensitive, loving pastoral presence in the world, the Church has a responsibility to recognize the signs of the times, particularly as it relates to same-sex relationships, and to implement changes based on the contemporary developments in science, psychology, biology, and the humanities.

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* 11. Current Church teaching refers to same-sex relationships as a "disordered state. Pope Francis, on the other hand, has said: "Who am I to judge?" To what extent do you personally agree with the current stance of the Church?

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* 12. I believe the love that one person has for another is a gift from God and deserves to be recognized as a call to a loving relationship regardless of sexual orientation.

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* 13. It’s difficult for a family to “preach” non-discrimination to its children when the Church’s behavior is discriminatory and prejudicial in many ways.

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* 14. Our Church must seek new ways of expressing tradition regarding gender and sexuality compatible with the Gospel and the norms of our society.

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* 15. Share any personal story or that of a family member or friend, whether positive or negative, regarding a situation of :
(1) struggling to maintain a same-sex relationship amid judgments and biases.
(2) struggling to be a woman in an all-male clerical world in the Church today.
Note: Experiences will only be shared or represented as generalized experiences.

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* 16. If you'd like to add a comment about something not covered in this survey, please do so now.

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