Getting to know you properly
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Email
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What is your ethnic origin?
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Black, Caribbean or African
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What is your gender?
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Do you identify as LGBTQIA+?
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What are your interests?
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What is your first name or nickname?
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When's your birthday?
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Which country do you live in?
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Which State/Province do you live in?
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How much does your household bring in annually? Values are US dollars.
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50,000-75,000
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250,000+