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10Questions

1
Gender
Please Select
Male
Female
N/A
2
Age
0 - 17
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 - 74
75 or more
3
Current Location
USA
Canada
South America
Europe
Africa
Asia
Australia
India
4
Job Title
Owner/Operator
Horticulturist
Cultivation Associate
Mycologist
Production Worker
Other
5
Have You Ever Had a CO2 Leak or Over Exposure Incident?
YESNO
6
If Yes, What Happened? What Procedures Were Taken?
Huge
Large
Normal
Small
Ok
Ok
7
What Are You Looking For?
CO2 Control
CO2 Safety
Other
8
Name
First Name
Last Name
9
Email
example@example.com
10
Phone Number
Please enter a valid phone number.
Should be Empty:

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