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* 1. What is your name?

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* 2. What is your student ID (if applicable)?

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* 3. What is your course title (if applicable)?

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* 4. Who is your course tutor (if applicable)?

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* 5. What is your date of birth?

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* 6. What is your email address? (This is how we will contact you unless told otherwise)

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* 7. Please indicate preferred method of contact for response:

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* 8. What is your suggestion, question or comment?

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