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All information provided will be kept confidential and used solely for the purpose of this survey only. We will not disclose your personal information to a third party without your consent.
您提供的所有信息将被保密,仅用于本次调查的目的。未经您的同意,我们不会将您的个人信息泄露给第三方。
 
Please tick (✔) in appropriate box
请在方框内打勾

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* 1. Gender 性别

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* 2. Age 年龄

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* 3. Race 种族

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* 4. Religion宗教信仰

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