Accessibility Research Registration Form
About yourself
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1.
What is your first name? Please type your response in the text field.
(Required.)
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2.
What is your last name? Please type your response in the text field.
(Required.)
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3.
What is your gender? Please select one from the following list.
(Required.)
Female
Male
I prefer not to answer
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4.
What is your age? Please select one from the following list.
(Required.)
18 to 24
25 to 34
35 to 44
45 to 54
55 to 64
65 or above