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First name
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Last name
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Are you a high school student?
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What year are you in?
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Where do you go to school? (School name, city)
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Are you happy with your ability to focus or would you like to be more focused? (For example: on schoolwork, tasks, extracurriculars, etc.) 

(1 = Very Happy, 5 = Very Unhappy)
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How often do you hop around from one task to another without completing them? 
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How long does it usually take you to complete assignments compared to how long you think they should have taken? 
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What kinds of things are you most distracted by?
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Are you diagnosed with any health conditions that may impair your ability to focus? 
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Would you be interested in filling in a daily journal entry for our study running Monday to Friday next week? It will help you do more in less time going forward, and will only take ~10 mins per day!
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What is the best way for us to contact you? (Phone number / Email)
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Are you under 18 years old?
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Parent/guardian email address
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