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Gender: [Not required]
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Male
Female
Other
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Your accent [example: Cockney, Manchester, Scottish: [Not required]
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Name:
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Email Address:
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If a potion was invented to shrink people and someone wanted to shrink and be swallowed to find out what it's like in the stomach, and neither you nor them would get hurt would you swallow them?
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Yes
No
Not Sure
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Could you please explain the reason for your answer?
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Would you be happy for me to contact you to discuss? You will receive a confirmation email, confirming receipt of this form by us, but if you select no, you will not be contacted further unless you re submit the form and alter your contact preferences.
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Yes
No
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If you'd like to chat on facebook, you can enter your facebook profile url, email address, or username here: [Not required]
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If you'd like to chat on skype, you can add your skype username here: [Not required]
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