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Are you:
 
male
 
female
 
 
 
Your age is:
   
 
 
 
Which state do you live in?
   
 
 
 
Do you consider yourself to be a religious person?
 
yes
 
no
 
 
 
Do you regularly attend a religious place of worship?
 
yes
 
no
 
sometimes
 
hardly ever
 
I have never attended a religious place of worship
 
 
 
Do you pray?
 
yes
 
no
 
 
 
If yes, how often do you pray?
   
 
 
 
Would you mind if a religious person, that has a different religion to you, moved in next door?
 
yes
 
no
 
I don't mind
 
depends on what religion
 
I don't want other religious people next door to me
 
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