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* 1. Would you like to remain anonymous or share your name and last initial/ role below? If anonymous, please create a unique ID using the last two letters of your last name and number of your month of birth, ie. Oprah Winfrey born in January = EY01.

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* 2. What are the main themes of your experience?

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* 3. Is there anything else you feel relevant or want to share with us quickly?

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* 4. Would you want to be contacted if we want to follow up with you? If yes, provide your preferred (email, phone number) contact method below under 'other' below. 

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* 5. Please provide your email so we can provide you with updates or episodes once released!

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* 6. Will you be providing your story to us using the anonymous email crookedconsumerism@gmail.com? If yes, please title the email using your first name and initial & my story OR your unique ID and my story (ie. EY01 my story). Thank you for participating! 

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