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2015-2016 Member Survey
Please take this opportunity to provide feedback on your past year of USQ membership! Direct any questions to
membership@usquidditch.org
.
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* Required
Your Information
Your name
*
Your answer
Age
*
Choose
0 - 12 years
13 - 17 years
18 - 22 years
23 - 28 years
29 - 35 years
35 - infinity years
Gender
*
Choose
Cisgender Man
Cisgender Woman
Transgender Man
Transgender Woman
Bigender
Gender Fluid
Non-binary
Agender
What kind of membership did you purchase?
*
Player
Coach
Referee
Fan
Other:
Required
USQ Region
*
Where did you live and play for the majority of the season?
Great Lakes
Mid-Atlantic
Midwest
Northeast
Northwest
South
Southwest
West
Your city and state
Throughout the duration of your membership
Your answer
What team were you affiliated with this season?
*
If none, please write "none". If you transferred mid-season, please list both.
Your answer
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