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* 1. Please enter your First and Last name

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* 2. Do you have a smart phone that can receive e-mail?

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* 3. What is your e-mail address?

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* 4. What kind of smart phone do you have? (e.g. I-phone, Android, Windows)

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* 5. What is your cell phone number?

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* 6. Do you prefer to test the app in English or Spanish?

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