* 1. What is your first name?

* 2. What is your last name?

* 3. What is the best way for us to contact you to talk more about your plans to move?

* 4. Please share your contact information:

* 5. Why are you or your this person leaving Hawaii, and how do you/they feel about it?

* 6. Is it you or someone else who is planning to move from Hawaiʻi to Las Vegas?

* 7. When is the person planning to move to Las Vegas?

* 8. Is the who is person who is planning to move to Las Vegas kanaka ʻōiwi (Native Hawaiian)?

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