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Exit Survey
 
 
Are you married
 
Yes
 
No
 
 
 
Do you have any children with your former spouse?
 
Yes
 
No
 
 
 
Are you sexually active
 
Yes
 
No
 
 
 
How old are your children?
 
1-10
 
11-18
 
18+
 
 
 
How long have you been divorced
 
Less than a year- 1 year
 
2-4 years
 
5-6 years
 
7+
 
 
 
Are you in a relationship?
 
Yes
 
No
 
 
 
Do you love the man or woman you are in a relationship with?
 
Yes, I am in love
 
Yes, I think
 
I don't know yet
 
No not yet
 
I don't think I could ever
 
 
 
Do you think you will end up marrying this person?
 
Yes
 
No
 
 
 
In how long do you think you will be married to this person?
 
Less than a year
 
1 year
 
2 years
 
3 years
 
4 years
 
5+ years
 
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