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Exit Survey
 
 
What is your age?
 
16-18
 
18-25
 
25-30+
 
 
 
Are your parents currently divorced?
 
Yes
 
No
 
 
 
How long have your parents been divorced?
 
1-5 years
 
5-10 years
 
10-20+ years
 
 
 
Are you currently in a relationship or have you been in a relationship in the past year?
 
Yes
 
No
 
 
 
What is your gender?
 
Male
 
Femlae
 
 
 
Do you live with your significant other?
 
Yes
 
No
 
 
 
Are you currently enrolled in a college or university?
 
Yes
 
No
 
 
 
Do you have any children?
 
Yes
 
No
 
 
 
Do you have a history of relationship problems?
 
Yes
 
No
 
 
 
Is there any history of domestic violence in your family?
 
Yes
 
No