2019 CUGALA Name Change Focus Group Survey
Please fill out each section, including your availability for a one-hour focus group.
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Email *
First Name *
Last Name *
How do you identify your race and/or ethnicity (check all that apply)?
How do you identify your sexual orientation?
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How do you identify your gender? (Check all that apply) *
Required
College and Year (Enter multiple if applicable, separated by a comma.) *
Mobile Phone Number
City *
State *
Zip
At which of the following times are you available for a one-hour focus group? *
Required
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