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what color ?
 
pink
 
red
 
green
 
yellow
 
 
 
color 2
 
black
 
white
 
 
 
size
 
110
 
250
 
500
 
350
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
what day is it ?
MonthDayYearHrs.Mins.AM/PM
    
 
 
 
first and last name first last name
   
 
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