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* 1. How old are you?

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* 2. Do you attend church regularly?

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* 3. What level of education have you completed?

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* 4. What hobbies/interests do you have? What are your top 3 values in life?

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* 5. Which physical health concerns do you have?

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* 6. What is the #1 physical health issue you're struggling with?

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* 7. Where do you like to hangout online?

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* 8. What would make you share my content?

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* 9. Fill in the blank about your spiritual and/or physical health. If I could only ____________.

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* 10. Thanks for participating in this survey. Is there anything you'd like to add about your spiritual or physical health that would help me to help you?

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