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Your Marital Status I'm Married I'm in a Domestic Partnership I'm Single I'm Separated I'm Divorced I'm Widowed

Your age in years 25 years old26 years old27 years old28 years old29 years old30 years old31 years old32 years old33 years old34 years old35 years old36 years old37 years old38 years old39 years old40 years old41 years old42 years old43 years old44 years old45 years old46 years old47 years old48 years old49 years old50 years old51 years old52 years old53 years old54 years old55 years old56 years old57 years old58 years old59 years old60 years old61 years old62 years old63 years old64 years old65 years old66 years old67 years old68 years old69 years old70 years old71 years old72 years old73 years old74 years old75 years old76 years old77 years old78 years old79 years old80 years old81 years old82 years old83 years old84 years old85 years old86 years old87 years old88 years old89 years old90 years old91 years old92 years old93 years old94 years old95 years old96 years old97 years old98 years old99 years old100 years old101 years old102 years old103 years old104 years old105 years old

Your spouse's age (if applicable) 25 year old spouse26 year old spouse27 year old spouse28 year old spouse29 year old spouse30 year old spouse31 year old spouse32 year old spouse33 year old spouse34 year old spouse35 year old spouse36 year old spouse37 year old spouse38 year old spouse39 year old spouse40 year old spouse41 year old spouse42 year old spouse43 year old spouse44 year old spouse45 year old spouse46 year old spouse47 year old spouse48 year old spouse49 year old spouse50 year old spouse51 year old spouse52 year old spouse53 year old spouse54 year old spouse55 year old spouse56 year old spouse57 year old spouse58 year old spouse59 year old spouse60 year old spouse61 year old spouse62 year old spouse63 year old spouse64 year old spouse65 year old spouse66 year old spouse67 year old spouse68 year old spouse69 year old spouse70 year old spouse71 year old spouse72 year old spouse73 year old spouse74 year old spouse75 year old spouse76 year old spouse77 year old spouse78 year old spouse79 year old spouse80 year old spouse81 year old spouse82 year old spouse83 year old spouse84 year old spouse85 year old spouse86 year old spouse87 year old spouse88 year old spouse89 year old spouse90 year old spouse91 year old spouse92 year old spouse93 year old spouse94 year old spouse95 year old spouse96 year old spouse97 year old spouse98 year old spouse99 year old spouse100 year old spouse101 year old spouse102 year old spouse103 year old spouse104 year old spouse105 year old spouse

Number of children currently living with you No children living with me 1 Children in home2 Children in home3 Children in home4 Children in home5 Children in home6 Children in home7 Children in home8 Children in home9 Children in home10 Children in home11 Children in home12 Children in home13 Children in home14 Children in home15 Children in home16 Children in home17 Children in home18 Children in home19 Children in home20 Children in home21 Children in home

Would you consider a sibling group? I would consider a sibling group. I would NOT consider a sibling group. I may consider adopting a sibling group.

No age range preference Children up to age 12 Children up to age 8 Children up to age 4

Your Homestudy Status Completed Homstudy Copy of Old Homestudy No Homestudy