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* 1. What is your name? If you want to remain anonymous use a fake name. Your responses (or part of them) may be read on the podcast or published.  By filling this out you give up any claims to authorship or compensation.    

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* 2. What, if any, gender do you identify with?

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* 3. Share a thing/things you love.  It could be a person, place, thing or moment. They don't have to be huge, just things that bring you joy or peace.

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* 4. How old are you?

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* 5. Do you have any comments or suggestions to make the Mental Illness Happy Hour podcast better?

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