Free Product Testing opportunity: Gluten Tester

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 5. Country

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* 6. Do you or anyone in your family suffer from a gluten intolerance or allergy?

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* 7. Do you currently use a form of technology to detect gluten in your food?

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* 8. If you answered yes to question 7, please tell us what you are using

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* 9. Do you avoid foods with gluten as part of your lifestyle?

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* 10. Do you have trouble finding a restaurant that offers a gluten-free menu?

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* 11. Would you like to test a device that detects gluten in foods?

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