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Computer Sign-In
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* Indicates required question
Computer / Laptop Number
*
Choose
Computer 1
Computer 2
Computer 3
Computer 4
Computer 5
Laptop 1
Laptop 2
Laptop 3
Last Name
*
Your answer
First Name
*
Your answer
Age
*
Under 18
18-59
60 +
Gender
*
Female
Male
How long will you be using the computer? (You may edit this response if needed)
*
5 - 29 min
30 minutes - 1 hour
1 hour +
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