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* 1. Thank you for joining the Avenidas LGBTQ Seniors Initiative Empowerment and Connections Group.  How did you hear about the group?

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* 2. What is your name?

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* 3. What age range do you fall into?

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* 4. What are your pro-nouns?

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* 5. How do you identify in the LGBTQ+ Community

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* 6. What is your email address?

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* 7. What is your phone number?

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* 8. What is your zip code?

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* 9. Would you like to learn more about other LGBTQ events and programs at Avenidas?

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* 10. Thank you for joining the LGBTQ Senior Empowerment Group at Avenidas.  We will be sending you a Zoom invite via email very soon.  Do you know how to use Zoom?

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