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* 1. Will you be attending the COD Senior Expo on Sunday, April 19th??

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* 2. First Name

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* 3. Last name

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* 4. Are you planning to attend the Keynote presentation by the Alzheimer's Association, "Healthy Habits for a Healthier You," at 12:45 p.m.?

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* 5. Email Address

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* 6. 5-digit Zip Code

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* 7. In the first hour of sessions (beginning at 1:40), which are you most interested in attending?

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* 8. In the second hour of sessions (beginning at 2:30), which are you most interested in attending?

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* 9. In the third hour of sessions (beginning at 3:20), which are you most interested in attending?

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* 10. What kind of information tables or vendors are you most interested in seeking at the COD Senior Expo?

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* 11. Please check all ways you heard about the COD Senior Expo

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* 12. When you were last here on campus, what did you do? Please choose all that apply.

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* 13. If you would like this survey to serve as your registration for the COD Senior Expo and as your entry into the raffle, please indicate your full birthdate below (Sample: Feb. 14, 1950)

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