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* 1. What is your name?

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* 2. What is your email address?

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* 3. Who are you? Tell us about yourself.

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* 4. Are you a Facebook user? A Facebook developer? When did you join?

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* 5. How specifically has Facebook harmed you?

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* 6. Do you feel like you've been damaged by Facebook's actions? If so, how?

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* 7. Can we contact you for a quick call to discuss?

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