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* 1. What is your age?

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* 2. What city or town do you live in?

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* 3. What information would you be most interested in receiving from MOD? Select all that apply:

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* 4. Which of these best describes you? Select all that apply:

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* 5. How did you first hear about MOD?

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* 6. What social media platforms do you visit most frequently? Select up to 3:

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* 7. If you would be open to a phone call to give more in-depth feedback, please provide your email address:

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