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The form should be filled out by those individuals who agree to participate in the survey anonymously.
In order to participate in this survey, you must accept the following terms:
I understand that this survey is voluntary and that I may refuse to answer any questions I do not wish to answer.
I understand that the information I provide will be kept confidential and will only be used for research purposes.
I understand that I will not receive any compensation for participating in this survey.
I have read and understood the above terms. I hereby give my consent (with signature) to participate in this survey.