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* 1. Please rate THE TEST

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* 2. Where did you see the film? (Zip Code)

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* 3. First Name

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* 4. Last Name

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* 5. Email

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* 6. Which age group do you fall into?

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* 7. List the organization, business, or university are you affiliated with.

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* 8. How likely are you to recommend this film to a friend or colleague?

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* 9. Could you pass the US citizenship test featured in the film? (Check all that apply)

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* 10. This film has deepened my appreciation for the contributions senior citizens make in my community to support and mentor younger generations.

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* 11. After watching the film, I learned something new about the rigorous civic education required to become an American citizen.

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* 12. How did THE TEST inspire you to get involved? (Check all that apply)

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* 13. OPTIONAL: Would you be interested in introducing us to any organizations that you think would love this film? If yes, please list out the specific organizations, and we will reach out to you to get connected.

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* 14. OPTIONAL: Leave a short review of the film that we can publicly share on our social media (only leave a review if we have your permission to share your review publicly).

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* 15. OPTIONAL: Additional thoughts?

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