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On behalf of the Adrienne Arsht Performing Arts Center and Twist Out Cancer, we want to thank you for your participation in the program! As we prepare to celebrate your participation, it is critical that we collect key information from all Inspirations and Artists. Please take a few moments to fill out the below questionnaire that will be used for the virtual gallery and art exhibition.

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* 1. Name

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* 2. Location

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* 3. Social Media Handles

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* 4. Are you a previvor, survivor or caregiver? Please specify how you identify below and what type of cancer you have been impacted by.

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* 5. Share your Twist on Cancer (lessons learned, strategies, new perspectives).What would you like others to know about your experience with cancer ( no more than 250 words).

Please submit a high resolution (no smaller than 3mb) headshot and an optional 30 second video testimonial that summarizes how you have been touched by cancer and what your experience was like working with your artist. You should submit both the labeled image and video testimonial through dropbox. Please note that you will be directed to a separate window to submit your assets in Dropbox. To complete this survey, please return to this window and ensure you click "DONE" at the bottom of this page.
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