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* How did you hear about Virtual Date Night? Please check all that apply.

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* Which Virtual Date Nights have you completed/engaged with? Select all that apply.

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* How many activities do you typically complete per Virtual Date Night?

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* Which themes, artworks, and/or collections would you like to see in a Virtual Date Night Activity?

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* What type of activities do you like to do on a date night?

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* What age are you?

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* (OPTIONAL) Are you of Hispanic, Latino/a/x, or Spanish origin?

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* (OPTIONAL) What is your race? Mark one or more boxes.

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* Please share any other comments or feedback below:

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