Why Were Devout Puritans in a Perpetual State of Anxiety

Why were devout Puritans in a perpetual state of anxiety?

A) They never knew with absolute certainty whether they were of the saved or of the damned.
B) They constantly worried about whether God wanted them to tithe.
C) They could never know whether they had done enough good deeds for God to consider them candidates for heaven.
D) They lived in constant fear that they had not shown enough tolerance toward others.

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