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* 1. What's your name?

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* 2. What's your email address?

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* 3. How did you hear about us?

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* 4. Do you support the campaign to end the Debt Draft? If so, why?

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* 5. Have your views on the welfare state changed because of our speakers or resources? Please tell us how.

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* 6. Have you taken an action to fight the Debt Draft? What was it? What were the results?

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* 7. Can we use your comments to help promote our End the Debt Draft campaign?

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