Name:
City:
State:	Zip:
Age:	10-1516-2021-2526-3031-4041-5051 & over
Sex:	Male Female
	Do you belive in gun control? � yes No
	Who do you think is responsible for the violence in our society ?
	TeensParentsTeachersSocietyAll of the above
Email:
Comments:	�
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