Survey

Thank you for taking the time to answer this survey. Your input matters and we appreciate you participating. It's time for a change and you can help make it happen.

Q1 / 12: What is your age?

18 - 24

25 - 34

35 - 44

45 - 54

Over 55

First Name

Last Name

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Address (Street, City, Province, Postal Code)

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