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1
Age:
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2
Gender:
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3
Race/Ethnicity:
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4
Religious denomination or affiliation (N/A is ok, too):
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5
Who lives in your household?
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6
Tell me a little about YOU! What are you likes/dislikes? What's a typical day? What are your hobbies?
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7
Do you feel loved and/or valued by those in your family?
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8
Have you noticed any changes in your view of the world, God, or your place in the world in the past year?
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9
What gives you joy or makes you happy? What would you say is your purpose in life?
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10
After a stressful day, what do you do to relax or unwind?
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11
Is there someone in your life that you admire or look up to? If so, who is that person and why?
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12
How often do you attend church or church-sponsored events? What do you enjoy about them?
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13
If you could change one thing about your life or this world, what would it be? Why?
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14
Would you be interested in sharing more? If so, please leave your name and email/phone below.
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