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* 1. Personal Information

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* 2. Gender:

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* 3. Your Age:

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* 4. Your Race:

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* 5. Is your delivery address in an outlying/remote area that is not close to a main city area? (township, farm, out-of-town etc.)

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* 6. What is your level of passion when it comes to household cleaning?

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* 7. Would you describe yourself as a cleanfluencer/ king or queen of clean?

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