Accessibility Research Registration Form

About yourself

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* 1. What is your first name? Please type your response in the text field.

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* 2. What is your last name? Please type your response in the text field.

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* 3. What is your gender? Please select one from the following list.

Female

Male

I prefer not to answer

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* 4. What is your age? Please select one from the following list.

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 or above