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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. Do you think masturbation (solo sex, apart from anyone else) is always sin? Check all that apply

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* 5. How sure are you about your answer above?

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* 6. On average, how many times a week do you attend a church meeting, bible study, small group, or other Christian gathering?

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* 7. How many times have you masturbated in the last 30 days?

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* 8. Optional Comments

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