1. Section 2: Temple University Gene-Environment Interaction, Information About You

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Please respond to the statements in the following survey if you plan to attend the Research Exchange meeting to be held on the morning of March 2, 2012. The information from this survey will help us to identify available expertise that Temple University can offer to potential funding sources, focus areas for research, resources that exist to support that research, and resources that need to be acquired.

* What is your first name?

* What is your last name?

* Which department do you work in?

* What is your position title?

* What is your area(s) of expertise?

* What is your contact information? Please include Campus Location, Building and Room, Telephone Number, Email Address, and Website