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What is your age?
 
Younger than 18
 
18 - 24
 
25 - 34
 
35 - 44
 
45 - 54
 
55 - 64
 
65 or older
 
Prefer not to answer
 
 
What is your gender?
 
Male
 
Female
 
 
What is your marital status?
 
Single (Never married)
 
Married
 
Domestic partnership
 
Widowed
 
Divorced
 
Separated
 
Don’t know
 
 
Do you generally wake up feeling rested?
 
 
Have you ever stopped being friends with someone because of their religious beliefs?
 
Yes
 
No
 
 
Can you imagine your life in 10 years?
 
Yes
 
No
 
 
If yes, do you see yourself happy?
 
Yes
 
No
 
 
Have you accomplished most or all of your goals?
 
Yes
 
No
 
 
When something bad happens do you find it easy to accept it and move on?
 
Yes
 
No
 
 
 
Do you believe in....
 
Angels
 
Evolution
 
Extraterrestrial beings
 
Divine Intervention

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