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What is your name?
   
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
What is your age
 
18-24
 
25-30
 
31-35
 
36-40
 
41-50
 
51-60
 
61-69
 
70 and above
 
 
 
What is your religion?
   
 
 
 
How often do you go to church?
 
Multiple times a week
 
Weekly
 
Monthly
 
Only on holidays
 
Other
 
 
 
 
What is your average monthly income?
   
 
 
 
What is your occupation?
   
 
 
 
How many hours a week do you work?
 
15-20
 
21-30
 
31-40
 
41-50
 
50 +
 
 
 
How long is your commute to and from work?
 
10-20 minutes
 
21-30 minutes
 
31-45 minutes
 
46-1 hour
 
over 1 hour - 1.5 hours
 
 
 
What is your main hobby?