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WID Testing Application

Thank you for your interest in participating in our study.  
This question requires a valid email address.
4. What state do you live in? *This question is required.
5. What is your prefered cell phone model? *This question is required.
6. Please, select your gender. *This question is required.
This question requires a valid date format of MM/DD/YYYY.
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8. Please, select your ethnicity/race. *This question is required.
10. What disability do you have? Check all that apply. *This question is required.
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