1. PERSONAL INFORMATION

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* 1. Gender:

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* 2. Age:

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* 3. Workplace

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* 4. Area of interest (please choose maximum 3 options)

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* 5. Are you an ERA-EDTA member?

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* 6. Where are you coming from?

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* 7. What were the top 3 reasons that made you decide to attend the 53rd ERA-EDTA Congress? (TICK ONLY TOP 3)

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