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* 1. Contact Info:

* 2. Gender:

* 3. Date of Birth (Ex. 08/25/1987)

* 4. What is your current working status? (Select all that apply)

* 5. Occupation - Industry & Title:

* 6. Do you own a digital pen? That is, do you own a pen-like device that records writing and/or images in the device which you can later access on a computer?

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