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What is your Gender?
 
Male
 
Female
 
 
 
What age bracket are you in?
 
< 12
 
12 - 15
 
15 - 18
 
18+
 
 
 
Are you or your parents a member (s) of City Temple?
 
Yes
 
No
 
 
 
How long have you been attending City Temple?
 
0 - 1
 
1 - 5
 
5 - 10
 
10 - 15
 
15+
 
 
 
What is your current level of Education?
 
Middle School
 
High School
 
Some College
 
Trade/Vocational/Technical
 
Other
 
 
 
 
How often do you attend City Temple?
 
Rarely
 
Often
 
Always
 
Other
 
 
 
 
Have you ever been to AY at City Temple?
 
Yes
 
No
 
 
 
When you think of AY what are some of the things/activities that come to mind?
   
 
 
 
If the activities you listed were happening at AY would you attend?
 
Yes
 
No
 
 
 
Do you want to Participate in AY?
 
Yes
 
No
 
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