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* 1. Name

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* 2. Email address or contact number?

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* 3. Have you engaged with Transform before? If yes, how / in what capacity?

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* 4. Please explain in a couple of lines, why you are interested in taking part in the focus group. (This will have no baring on the selection of group members, we're just nosey!)

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* 5. Preferred meeting time: Daytime or evening?

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* 6. Do you have any additional needs?

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* 7. Anything else you’d like to tell us?

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