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age range
 
13-18
 
19-24
 
25-31
 
31 and older
 
 
 
What is your relationship status?
 
single
 
married
 
divorce
 
never married
 
 
 
How many children do you have?
 
0
 
1
 
2
 
3
 
4 or more
 
 
 
what is your religion?
 
Christian
 
Catholic
 
Muslim
 
Hinduism
 
Buddism
 
Atheist
 
Other
 
 
 
 
do you live alone or with a significant other?
 
alone
 
spouse(husband/wife)
 
cohabitating
 
Other
 
 
 
 
Is marriage a personal goal in your life?
 
yes
 
no
 
I don't know
 
 
 
did you grow up in a single parent or two-parent home?
 
single parent
 
two-parent
 
Other
 
 
 
 
Was your father present in the home growing up?
 
yes
 
no
 
 
 
What are your thoughts on reproduction before marriage?
   
 
 
 
What is the relationship like between you and the mother of your child/children?