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* 1. What is your full name?

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* 3. What is your phone number?

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* 4. Can we text you reminders?

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* 5. Do you have any food allergies?

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* 6. What are your main goals for attending the nutrition class? (Select all that apply)

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* 7. How did you hear about our nutrition class?

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* 8. Any additional comments or questions?

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