SayPro Data Collection Form-

SayPro Data Collection Form

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Project Title:

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Date:

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Prepared by:

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Participant Information

• Name:
• Email:
• Phone Number:
• Department/Organization:

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Data Collection Section

Please fill out the following sections as applicable:

1. Demographic Information

• Age:
• Gender:
  • [ ] Male
  • [ ] Female
  • [ ] Other: _______________
• Location:

2. Survey Questions

1. Question 1:
   • Response: __________________________________________________
2. Question 2:
   • Response: __________________________________________________
3. Question 3:
   • Response: __________________________________________________
4. Question 4:
   • Response: __________________________________________________

3. Additional Comments

• Please provide any additional comments or feedback:

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Consent

• [ ] I consent to the collection and use of my data for the purposes outlined in this form.

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Signature:

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Date:

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Instructions for Submission

Please submit the completed form to [insert submission method, e.g., email, online portal, etc.].