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* 1. What is your gender?

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* 2. How old are you??

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* 3. How long have you been married?

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* 4. Would you say you are a Christian/Follower of Jesus?

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* 5. Have you ever commited adultery? (Sex with someone other than your spouse)

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* 6. Have you ever had an emotional affair? (A too intimate but not sexual relationship with someone other than your spouse.)

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* 7. Has your spouse ever commited adultery?

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* 8. Has your spouse ever had an emotional affair?

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* 9. How likely is it you will ever commit adultery? (Or do it again if you have in the past.)

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* 10. How likely is it you will ever have an emotional affair? (Or do it again if you have in the past.)

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* 11. How likely do you think it is your spouse will ever commit adultery? (Or do it again if they have in the past.)

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* 12. How likely do you think it is your spouse will ever have an emotional affair? (Or do it again if they have in the past.)

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* 13. Optional Comments

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