Thank you for your interest in developing an interdisciplinary problem-based module based on fracking. This survey will help us learn more about you and your expertise.

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1. What is your name? (Required.)

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2. What is your email address? (Required.)

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3. What is your professional title? (Required.)

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4. What is/are your disciplinary society affiliation/s?

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5. What is the name of your institution or organization? (Required.)

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