Help us get to know you better! Please take a few moments to complete these questions. We value your privacy and want to assure you that we will use the information gathered for internal research only.

Thank you for your participation!

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* 1. What Sunday gathering are you attending today?

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* 2. Name:

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* 3. Email:

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* 4. Home Address:

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* 5. City:

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* 6. State:

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* 7. Zip:

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* 8. Gender:

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* 9. Age:

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* 10. Number of people in your family:

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* 11. Do you have any children/ young adults in your home?

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