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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Which institution do you represent?

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* 4. What topic(s) would you most like to learn about in 2021?

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* 5. On a scale of 1-10, how helpful have you found 60 Seconds to Success content over the past year?

1 - Not Helpful 5 - Somewhat Helpful 10 - Very Helpful
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