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1. Contact Information

The MicroInsurance Centre is conducting an evaluation for the Bill and Melinda Gates Foundation of their microinsurance activities. One of the objectives is to examine the lessons about microinsurance that have been generated through their activities and how they are being utilized and disseminated. The results will be used to assess the value that the lessons generated from these microinsurance programs have to its audience and to determine how this information can be better produces and distributed.
Your contributions to this survey will help ensure the success of the evaluation. We anticipate that it will take between 7-10 minutes.

We will ensure the confidentiality of your responses.

Thank you very much in advance for your time and contributions.

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* 1. Name

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* 2. Title

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* 3. Organization

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* 4. Country

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* 5. Email

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* 6. Phone number

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* 7. What languages do you prefer to work in (Mark all that apply)

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* 8. Professional Affiliation

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