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Age:
   
 
 
 
Gender 
 
Male
 
Female
 
 
 
Do you follow a religion?
 
Yes
 
No
 
 
 
Do you an your parents/guardians have similar religious views?
 
Yes
 
No
 
 
 
Do your friends influence your religious views?
 
Yes
 
No
 
 
 
Do you think religion has a positive or negative effect?
 
Positive
 
Negative
 
Not Sure
 
 
 
Are you confident in your religious views?
 
Yes
 
No
 
 
 
On a scale from 1-10, how satisfied are you with your religious views?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
Do you think your views will change at some point during your life?
 
Yes
 
No
 
Maybe
 
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