Homeowners Questionnaire Contribution

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Please fill out your details below so I am able to contact you about the study.

I am a resident of Bergvliet - Postal Code 7945 *

Yes

Please provide your email address for contact:

Which platform are you able to make contact on?

Zoom

Microsoft Teams

Google Meets

Other:

What times are you available for contact?

Mornings

Midday

Afternoons

Evenings

Late Evenings

Will you be open to meeting on a group call?

Yes

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Informed Voluntary Consent

The below check-box is an indication that you understand that taking part in this study is anonymous. Once you accept the invitation to take part in the study, you will be asked to sign a consent form to formally acknowledge this.

I understand that my participation in this study is completely anonymous and I have the option to remove myself at any time.

Yes

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