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* 1. Rate the following topics from 1 through 15 based on your interest. Please rate: 1 being the most interesting, 15 being the least interesting.

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* 2. Rate the following topics from 1 through 5 based on your interest. Please rate: 1 being the most interesting, 5 being the least interesting.

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* 3. If you attend a workshop, what time of day would best suit you?

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* 4. Please choose one.

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* 5. Please select one.

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* 6. If you would like to be informed about future events, please include your name, phone number and email.

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* 7. Additional comments:

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