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* CONTACT INFORMATION

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FOCUS GROUP SELECTION
Please rank your focus group area of interest: #1 as your most preferred group, #2 as second most preferred, and #3 as your least preferred. These may be ranked suitably based on your affiliations to these focus areas.

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COMMUNITY AFFILIATIONS
Are you a member or representative of any community groups. If so, please state the community group name(s) and your position.

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Where in Virginia Beach do you live, work, or conduct business(es)?

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