2015 Marriage and Family survey for the Diocese of Albany

General Information (Part 1)

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* 1. Please Indicate your Parish (If Known):

Other (please specify)

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* 2. In what capacity are you making this response? (Please select all that apply.)

Catechist

Chaplain (hospital, military, prison)

Deacon

Faith formation leader

Layperson

Member of a Lay Association or Movement

Pastoral Assistant

Parent

Priest

Professed Religious

Seminarian

Teacher

Other (please specify)

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* 3. I attend Mass:

Once a week

Monthly

Holidays

Very infrequently

Not at all

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* 4. What is your gender?

Female

Male

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* 5. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 6. What is your marital status?

Single

Engaged

Married

Widowed

Separated

Divorced

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* 7. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White / Caucasian

Prefer not to answer

Other (please specify)

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* 1. Please Indicate your Parish (If Known):

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* 2. In what capacity are you making this response? (Please select all that apply.)

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* 3. I attend Mass:

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* 4. What is your gender?

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* 5. What is your age?

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* 6. What is your marital status?

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* 7. What is your ethnicity? (Please select all that apply.)

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* 8. What is your email address? (Optional)