First Name
Last Name
Email
Phone Number
Gender
Male
Female
I'd rather not say
Marital Status
Single
Married
Widowed
Separated
Divorced
I'd rather not say
Your Age Group
18-25
26-35
36-45
46-55
55+
What days work best for you?
Tuesday
Wednesday (CMU Student Young Adult Only)
Thursday
Friday (Young Adults Groups)
Time of the day
Morning
Afternoon
Evening
Any special interests?
Couples
Young Adults (On CMU Campus)
Young Adults (In Town)
Women Groups
Men Groups
Mixed (Couples & Singles)
Family Oriented
Are you currently in a life group?
Yes
No
Name of your current Life Group
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