| A. | B. | C. | D. | E. | F. | G. | H | |
|---|---|---|---|---|---|---|---|---|
| Name (Last name, First initial) * All names kept confidential |
Male/Female (Circle one) | How (1-9) | Length (# of Years) | Relationship (1-4) | Affiliation (1-4) | Contact (1-6) | Focus (1-3) | |
| 1 | M F | |||||||
| 2 | M F | |||||||
| 3 | M F | |||||||
| 4 | M F | |||||||
| 5 | M F |
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