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* 1. What is your first and last name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. What field do you work in?

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* 5. Are you a University of Utah employee?

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* 6. What is your age range?

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* 7. What is your gender?

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* 8. Do you work full time (or at least 20 hours a week)?

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* 9. Do you plan on relocating out of State within the next 12 months?

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* 10. Have you received the COVID-19 Vaccine?

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* 11. You receive up to $50 compensation for referrals. Please send us names of those you think maybe interested:

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* 12. Thank you so much for your interest in our RECOVER Study. Any questions can be directed to RECOVER@utah.edu. If you are eligible, you will be contacted shortly about enrolling in the study. Thank you so much for your time and support!

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