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* 1. What is your gender?

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* 2. Which category below includes your age?

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* 3. How would you describe yourself? Please select all that apply.

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* 4. Which city of Tennessee do you live in or closest to?

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* 5. What role do you play in our food system? Check all that apply and PLEASE complete the comment box with your first and second ranked choices.

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* 6. What would help you in terms of education or connections to address your most critical needs and wants within your role in our food system?

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* 7. We’re focused on bringing more educational opportunities to our community. What topics would you be most interested in? Check all that apply and PLEASE complete the comment box with your first and second ranked choices.

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* 8. If you were to attend a local educational & community-based conference, select which of the following formats would most interest you. Check all that apply and PLEASE complete the comment box with your first and second ranked choices.

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* 9. Would you like to nominate a Keynote speaker or Presenter for this year's conference? Please let us know if you have a connection to this nominee.

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* 10. What is your email address?

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