| SURVEY part one |
| Survey Question 1: HOW DO YOU RATE YOUR REACTION (ON A SCALE OF 1-10) TO THE SYMBOLISM SHOWN BELOW: YOUR RATING |
| SCALE: 0 = totally indifferent 10= very uncomfortable |
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| YOUR TRIBE: |
| Please check box if non-Indian |
| Please give reasons for your rating |
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| If copied, Please return this survey form to: Peter Orenski 101 Bel Air Dr., New Millford, CT 06776, USA * Tel: (860) 354-0686 *Fax: (860) 354-2786 *[email protected] *www.TMEALF.com |
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| START HERE and Use "TAB" key to move to each question) |
| Please click on the "Back" key from survey 1 page to return to this page - and then continue with page 2. |
