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Simple Quiz
What is your name?
Gender:
Female
Male
Age:
Under 10
11 to 17
18 to 25
26 to 44
45 to 64
65+
I live in the:
Country
City
Do you suffer from any of the following allergy symptoms?
Dry or red eyes
Itchy or puffy eyes
Watery eyes
Dark circles under the eyes
None of the above
Do you suffer form any of the following allergy symptoms?
Dry or red eyes
Itchy or puffy eyes
Watery Eyes
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