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Your Gender?
 
Male
 
Female
 
 
 
Place of residence during divorce proceedings?
 
 
 
Your Age?
   
 
 
 
Age of spouse/ex-spouse?
   
 
 
 
What is your nationality?
 
 
 
What is your spouse's/ex-spouse's nationality?
 
 
 
In what year were you married?
 
 
 
In what year did you first decide to divorce?
 
 
 
In what year did you complete your divorce?
 
 
 
What was the reason(s) for your divorce?
 
Spouse having an affair
 
You having an affair
 
Disagreements about money
 
Disagreements about child rearing
 
Disagreements about religion
 
Spouse has substance abuse problem
 
You have substance abuse problem
 
Spouse is physically abusive
 
You are physically abusive
 
Spouse is verbally abusive
 
You are verbally abusive
 
Other

 
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