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Cleverly Changing Podcast Interview
Cleverly Cultured Kids Segment
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What email address should we contact you on?
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Your answer
What is your name (parent)?
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Your answer
What is the best date to conduct a short interview via Zoom?
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MM
/
DD
/
YYYY
What is the best time to conduct a short interview via Zoom?
*
Time
:
AM
PM
Are you comfortable with video recording?
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Yes
No
Child's Name and Age
*
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
Child's Name and Age
Your answer
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