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* 1. Select the sexism theme most closely aligned with your story.

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* 2. Using no more than 150 words, provide your brief personal story about sexism. Do not include specific names of people, places, or organizations so that you remain anonymous. You may want to write your story elsewhere, then copy and paste it here.

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* 3. Is there anything else you would like to share about sexism? You can also share a second sexism story here.

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* 4. Provide a first name to be shared along with your story. It can be your first name or another of your choosing in order to remain anonymous.

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* 5. What is your email address? Your email address will not be published. It will be used to provide you updates on story selection, book publication, and giveaways.

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* 6. What country do you live in?

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* 7. What is your sex?

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* 11. By completing this survey and selecting Yes below, you are giving permission for your sexism story to be shared in publications and acknowledging that no financial remuneration will be provided. Thank you!

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