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* 1. What is your gender?

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* 2. Which campus are you at?

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* 3. What is your classification?

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* 4. What is your current living situation?

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* 5. How often do you attend church on Sunday mornings in a typical month?

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* 6. How many campus ministries/churches are you involved in on a weekly basis?

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* 7. Are you involved in a organization on campus that isn't explicitly a Christian group?
e.g. Fraternity, Sorority, Sports Team, Ethnic Student Association, Academic Organization, Service group, etc.

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* 8. Do you have a group of friends at your campus that you consider your "mission field"?

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* 9. How often do you pray with other believers?

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* 10. How often do you spend time praying?

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* 11. What sentence best describes your prayer life?

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* 12. How many hours do you work a paid job each week?

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* 13. UNMARRIED STUDENTS ONLY: Within the last year, what best describes the degree of your sexual relationships?

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* 14. UNMARRIED STUDENTS ONLY: When was the last time you had oral sex or sexual intercourse?

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* 15. On an average day, how much time do you spend on the computer?
websites, email, facebook, etc. (not including schoolwork)

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* 16. How often do you spend time reading the Bible?

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* 17. What best describes your view of the Bible?

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* 18. What sentence best describes how/why you read the Bible?

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* 19. In how many campus ministries are you involved in some form of leadership?

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* 20. How often do you hang out with friends that aren't Christians?

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* 21. One an average day, how much time do you spend sleeping?

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* 22. When did you become a Christian?

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* 23. WOMEN ONLY: Do you struggle with an eating disorder?

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* 24. What best describes your parents marriage?
If your parents remarried, describe the marriage you saw mostly growing up

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* 25. How often do you engage in pornographic activities?
This includes looking at pictures and videos, sex chatting/cybersex, sexting, erotic literature, etc.

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* 26. Is your primary spiritual community a campus ministry, or a church off-campus?

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* 27. Have you ever been a victim of sexual abuse (made to do/watch something, fondling, rape)?

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* 28. WOMEN ONLY: Have you ever had an abortion?

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* 29. MEN ONLY: Have you ever given consent to an abortion?

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* 30. Are you part of a “small group”?
A small group of believers that meets weekly for prayer, Bible study, accountability, mission, fellowship, service, etc.

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* 31. How often do you feel bad about the way you look?

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* 32. How often do you feel discriminated against based on your ethnicity or gender?

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* 33. On an average day, how many hours do you spend studying outside of class?

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* 34. How often do you have conversations about your faith with friends who are not Christians?

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* 35. What best describes your activity, involvement, and service in “social justice” issues?
e.g. alleviating poverty, human trafficking, human rights issues, campaigning for just laws, etc.

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* 36. Excluding student loans, how much debt do you have?

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* 37. Within the last year, how often have you felt depressed?

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* 38. How often do you feel discriminated against based on your Christian faith?

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* 39. Within the last year, how often have you cheated on class work and/or quizzes and tests (such as plagiarism, cheat sheets, copying others’ answers, sharing answers etc.)?

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* 40. Considering your progress in school:

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* 41. Have you ever been a victim of verbal abuse (degraded, demeaned, manipulated) or physical abuse (beating, suppression)?

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* 42. The following sentence best describes my giving toward religious non profits such as a church, mission trip or para-church ministry:

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* 43. On an average day, how much time do you spend with entertainment such as: watching TV, movies, listening to music, and playing video games?

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* 44. On an average WEEK, how much time do you spend exercising and/or playing sports?

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* 45. Within the last year, how often have you had suicidal thoughts?

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* 46. Which description best fits you?

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* 47. Within the last year, how often have you consumed alcohol in excess?

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* 48. Within the last year, how often have you used illegal drugs or abused prescription drugs?

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* 49. How often do you hang out with a student from another country or another culture?

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* 50. How often do you spend your time involved in community service?

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* 51. What best describes your thoughts about religions?

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* 52. Do you have a spiritual mentor?

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* 53. Does your spiritual mentor know your struggles?
e.g. sin, faith, relationships, etc.

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* 54. How often do you illegally download and/or burn copyrighted materials (AKA piracy)?
e.g. movies, music, games, books, etc.

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