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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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* 3. 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. I believe that the Church should show compassion to couples who choose to live together in committed relationships prior to getting married.

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* 6. What role might the Church have in providing pastoral care for people preparing to marry?

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* 7. Divorce is a painful, disruptive factor within family life. What role might the Church have in providing pastoral care for people facing difficulties in marriages and/or relationships?

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* 8. I agree with the Annulment process as it exists in the Catholic Church today.

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* 9. If you have personal experience (or have a family member or friend who has experience) with going through the Annulment process, please share that experience now.
Note: Experiences will only be shared or represented as generalized experiences.

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* 10. Should the Church withhold the Eucharist from people because they are:

  Yes No
part of another Christian denomination
living in a relationship without marriage
divorced and remarried
in a same sex relationship
in an interfaith marriage but not married in the Church because they were unable to promise to baptize their children

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* 11. What support can the Church offer to couples in what the hierarchy calls "irregular relationships," i.e. same sex relationships, divorced and remarried, interfaith marriages, and the like?

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* 12. Share your personal story, whether positive or negative, regarding your own situation of striving to have a fulfilling relationship in your life as it relates to Church teaching?
Note: Your stories will only be shared or represented as generalized experiences, without names.

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* 13. If you have a comment not covered in this survey that you would like to add, please do so.

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