Attachment and Spiritual Maturity 90
Instructions: Fill in the blank or check the appropriate box for each question. 1. Age __
2. What is your current occupation?
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3. What is your ethnicity?
4. Gender: D 1 Male
D 2 Female
5. Number of times you have taken this survey before: D O D 1
6. What was your total household income before taxes last year? □ 1 Less than $10,000
□ 5 $40,000 to$50,000 □ 6 $50,000 to $60,000 □ 7 $60,000 to $70,000 □ 8 Above $70,000
□ 2 $10,000 to $20,000 □ 3 $20,000 to $30,000 D 4 $30,000 to $40,000
7. Current marital status: □ 1 Single
□ 4 Remarried
□ 5 Separated, but not divorced □ 6 Living together (not married)
□ 2 Married □ 3 Divorced □ 4 Remarried
□ 7 Widowed
8. Do you consider yourself to be born again? □ 1 Yes □ 2No
9. How many years since you first accepted Christ as Savior? ____
10. Which of these best describes your religious orientation? . . □ 1 Liberal □ 4 Chansmahc □ 2 Fundamental
D 5Other------- □ 6 None
□ 3 Evangelical
"th ? 11. Up until age 18 was your father present in the home w1 you. ' • □ 4 Seldom □ 1 All of the time D 5 Never □ 2 Most of the time □ 3 Sometimes 12. Ifhe was not present at times, check all of th e re~so:~:~r 0 1 Death
□ 5 Other (please specify)
D 2 Divorce or separation
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□ 3 Abandonment
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