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* 1. I am a ___

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* 2. Please provide your age

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* 3. Do you have concerns about COVID-19 safety at General Convention?

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* 4. How would you like the 80th General Convention to take place? (choose one)

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* 5. How likely are you to attend General Convention with the current vaccine requirement and mask mandate in place? (choose one)

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* 6. What precautions, if any, would make you feel safer attending General Convention? (choose all that apply)

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* 7. What else would you like us to know about your thoughts, feelings or concerns about General Convention?:

If you have a longer reflection you would like to share with the President of the House of Deputies please feel free to email contact@houseofdeputies.org or submit a video message using this link.

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