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Contest Halloween 🎃

➡️ Participate in our Halloween draw by filling out this form.

This strictly confidential questionnaire will only take a few minutes.

Thank you, and may luck be with you!


Last Name

First Name

Your e-mail

How old are you ?

What is the postcode of your residence ?

Your nationality

Which gender do you identify with ?

Which gender do you identify with ?
A
B
C
D

What is your marital status

What is your marital status
A
B
C
D
E

Do you have children ?

Do you have children ?
A
B

What is your level of education ?

What is your level of education ?
A
B
C
D

What is your job ?

What are your interests ?

What are your interests ?
A
B
C
D
E
F
G
H
I
J
K

Which communication channel(s) do you prefer ?

Which communication channel(s) do you prefer ?
A
B
C
D

Which mode(s) of transport do you use daily ?

Which mode(s) of transport do you use daily ?
A
B
C
D
E
F