Outcome Reporting (Anonymity Optional)

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Outcome Reporting (Anonymity Optional)

The more information you provide to us, the more accurate our reporting becomes. You have the option of filling this form out on an anonymous basis. All proper personal and company names will not be made public, whether this survey was filled out on an anonymous basis or not.

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* Indicates required question

First and Last Name *

Your answer

Your Email *

Your answer

Phone Number

Your answer

Do you want to remain anonymous? *

No, my involvement can be made public.

Yes, I want to remain anonymous but contact me about re-engagement in Detroit

Yes, I want to remain anonymous and do not contact me to discuss re-engagement in Detroit.

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