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Verification Survey

What is your age?
5-10
11-15
16-17
18-20
20+
Name: your username?
Email ex:1111111@gmail.com
Date of Birth Ex: 03-2-199
How did you find out about us?
How would you rate this Verification quiz?
Name: your username
What is our crew name?
{"name":"Verification Survey", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"What is your age?, Name: your username?, Email ex:1111111@gmail.com","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

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