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Please select the age group to which you belong:
 
18-25
 
25-34
 
34-54
 
55 or older
 
 
 
Please specify the country in which you currently live
 
USA
 
Israel
 
Other
 
 
 
 
Do you suffer from a chronic medical condition?


 
No
 
Yes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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