Form 3 College Senior Survey

OMB #0925-0747
EXP. 11/2019

Attachment 14:
College Senior Survey

Public reporting burden for this collection of information is estimated to average 45
minutes per response, including the time for reviewing instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. An agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. Send comments regarding this burden estimate
or any other aspect of this collection of information, including suggestions for reducing
this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974,
Bethesda, MD 20892-7974, ATTN: PRA (0925-0747). Do not return the completed form
to this address.

2019 COLLEGE SENIOR SURVEY
Title: 2019 COLLEGE SENIOR SURVEY
Please print your responses below in ALL CAPS.
NAME:
FIRST
MI
LAST
EMAIL (print letters carefully)
STUDENT ID# (as instructed)
When were you born?
Month (01-12)
Day (01-31)
Year (two boxes)
Congratulations on your impending graduation! We are very interested in your experiences as a
college student. This form has been designed to provide feedback that can help improve the
college experience. Thank you very much for your help with this important project.
WEB ONLY Retention Question:
R1. Are you currently a student at or did you complete your degree from
Yes
No,
1. Do you identify as transgender?
Yes
No
2. What is your current gender identity?
Man/Trans man
Woman/Trans woman
Gender queer/Gender non-conforming
Different identity (please state): [Free response]
3. Are you:
(Select all that apply)
White/Caucasian
African American/Black
1

?

American Indian/Alaska Native
East Asian (e.g., Chinese, Japanese, Korean, Taiwanese)
Filipina/o/x
Southeast Asian (e.g., Cambodian, Vietnamese, Hmong)
South Asian (e.g., Indian, Pakistani, Nepalese, Sri Lankan)
Other Asian
Native Hawaiian/Pacific Islander
Mexican American/Chicana/o/x
Puerto Rican
South American
Other Latina/o/x
Other
4. What year did you first enter:
(Select one in each column)
[Response categories: Your 1st College, This College]
2018 or 2019
2017
2016
2015
2014 or earlier
5. Please indicate your current enrollment status below:
Full-time undergraduate
Part-time undergraduate
Not enrolled
6. Expected Graduation Date:
2018
2019
Other
Not sure
7. Please indicate the highest degree you (A) will have earned as of June 2019 and (B) plan
to complete eventually at any institution.
(Select one in each column)
[Response categories: Highest Earned, Highest Planned]
None
Vocational certificate
2

Associate’s (A.A. or equiv.)
Bachelor’s (B.A., B.S., etc.)
Master’s (M.A., M.S., etc.)
Ph.D. or Ed.D.
M.D., D.O., D.D.S., or D.V.M.
LL.B. or J.D. (Law)
B.D. or M.DIV. (Divinity)
Other
8. What is your sexual orientation?
Heterosexual/Straight
Gay
Lesbian
Bisexual
Queer
Pansexual
Asexual
Not Listed Above (Free Response)
9. How often in the past year did you:
[Response categories: Frequently, Occasionally, Not at All]
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•

Ask questions in class
Support your opinions with a logical argument
Seek solutions to problems and explain them to others
Revise your papers to improve your writing
Evaluate the quality or reliability of information you received
Take a risk because you felt you had more to gain
Seek alternative solutions to a problem
Look up scientific research articles and resources
Explore topics on your own, even though it was not required for a class
Accept mistakes as part of the learning process
Seek feedback on your academic work

10. Have you ever been made aware of this college's sexual harassment reporting policy
(Yes, No)
11. Since entering college, indicate how often you:
[Response categories: Frequently, Occasionally, Not at All]
•

Discussed course content with students outside of class
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Failed to complete homework on time
Came late to class
Performed community service as part of a class
Posted on a course-related online discussion board
Accessed your campus’ library resources electronically
Missed class due to employment
Missed class for other reasons
Tutored another college student
Met with an advisor/counselor about your career plans
Fell asleep in class
Texted or used social media during class
Had difficulty getting the courses you needed
Demonstrated for a cause (e.g., boycott, rally, protest)
Challenged a professor's ideas in class
Communicated regularly with your professors
Took a class that required:
o One or more 10+ page papers
o Multiple short papers
Contributed to class discussions
Helped raise money for a cause or campaign
Publicly communicated your opinion about a cause (e.g., blog, email, petition)
Socialized with someone of a different sexual orientation

12. How many months since entering college (including summer) did you work on a
professor’s research project?
0 months
1-3 months
4-6 months
7-12 months
13-24 months
25+ months
13. How would you characterize your political views?
Far left
Liberal
Middle-of-the-road
Conservative
Far right
14. Since entering college, have you:
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Failed one or more courses
Taken a remedial course
Taken an ethnic studies course
Taken a women's studies course
Withdrawn from school temporarily
Taken an honors course
Participated in a campus program that promotes STEM careers (e.g. BUILD, MARC,
HHMI, S-STEM, etc.)
Transferred from a 2-year college
Transferred from a 4-year college
Completed a culminating experience for your degree (e.g., capstone course/project,
thesis, comp exam)
Taken courses from more than one institution simultaneously
Taken a course exclusively online
15. Mark your:
Primary undergraduate major (Select one response only)
Secondary undergraduate major (omit if you do not have a secondary major)
Graduate major (omit if you do not plan to go to graduate school)
(Text for flap):
Below is a list of different MAJOR fields. Fill in the appropriate three-digit code on your survey
for your primary undergraduate major, secondary undergraduate major, and graduate major.
ARTS AND HUMANITIES
001 Art, fine and applied
002 Classical and Modern
Languages and Literature
003 English (language and
literature)
004 History
005 Journalism/Communication
006 Media/Film Studios
007 Music
008 Philosophy
009 Theater/Drama
010 Theology/Religion
011 Other Arts and Humanities
BIOLOGICAL & LIFE
SCIENCES
112 Agriculture/Natural
Resources
113 Animal Biology (zoology)
114 Biochemistry/Biophysics
115 Biology (general)
116 Ecology & Evolutionary
Biology
117 Environmental Science
118 Marine Biology
119 Microbiology

120 Molecular, Cellular, &
Developmental Biology
121 Neurobiology/Neuroscience
122 Plant Biology (botany)
123 Other Biological Science
BUSINESS
224 Accounting
225 Business Admin. (general)
226 Computer/Management
Information Systems
227 Entrepreneurship
228 Finance
229 Hospitality/Tourism
230 Human Resource Marketing
231 International Business
232 Management
233 Marketing
234 Real Estate
235 Other Business
EDUCATION
336 Elementary Education
337 Music or Art Education
338 Physical Education or
Recreation
339 Secondary Education
340 Special Education

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341 Other Education
ENGINEERING
442 Aerospace/Aeronautical/
Astronautical Engineering
443 Biological/Agricultural
Engineering
444 Biomedical Engineering
445 Chemical Engineering
446 Civil Engineering
447 Computer Engineering
448 Electrical/Electronic
Communications Engineering
449 Engineering
Science/Engineering Physics
450
Environmental/Environmental
Health Engineering
451 Industrial/Manufacturing
Engineering
452 Materials Engineering
453 Mechanical Engineering
454 Other Engineering
HEALTH PROFESSIONS
555 Clinical Laboratory Science
556 Health Care
Administration/Studies

557 Health Technology
558 Kinesiology
559 Nursing
560 Pharmacy
561 Therapy (occupational,
physical, speech)
562 Other Health Profession
MATH AND COMPUTER
SCIENCE
663 Computer Science
664 Mathematics/Statisticians
665 Other Math and Computer
Science
PHYSICAL SCIENCE
766 Astronomy & Astrophysics
767 Atmospheric Sciences

768 Chemistry
769 Earth & Planetary Sciences
770 Marine Science
771 Physics
772 Other Physical Science
SOCIAL SCIENCE
873 Anthropology
874 Economics
875 Ethnic/Cultural Studies
876 Geography
877 Political Science (gov’t.,
international relations)
878 Psychology
879 Public Policy
880 Social Work
881 Sociology

882 Women’s/Gender Studies
883 Other Social Science
OTHER MAJORS
984 Architecture/Urban Planning
985 Criminal Justice
986 Library Science
987 Security & Protective
Services
988 Military
Sciences/Technology/Operations
989 General Studies
990 OTHER

16. Mark your probable CAREER/OCCUPATION:
(Text for flap):
Select your probable CAREER/OCCUPATION from the list below and fill in the appropriate
two-digit code on your survey.
ARTS
01 Actor or Entertainer
02 Artist
03 Graphic Designer
04 Musician
05 Writer/Producer/Director

26 K-12 Administrator
27 Librarian
28 Secondary School Teacher
29 Teacher's Assistant/Paraprofessional
30 Other K-12 Professional
GOVERNMENT
31 Federal/State/Local Government Official
32 Military
33 Postal Worker
34 Protective Services (e.g., Homeland Security, Law
Enforcement, Firefighter)

AGRICULTURE
06 Farmer or Forester
07 Natural Resource Specialist/Environmentalist
BUSINESS
08 Accountant
09 Administrative Assistant
10 Business Manager/Executive
11 Business Owner/Entrepreneur
12 Finance (e.g., Actuary, Banking, Loan Officer, Planner)
13 Human Resources
14 Management Consultant
15 Real Estate Agent/Realtor/Appraiser/Developer
16 Retail Sales
17 Sales/Marketing
18 Sports Management

MEDICINE/HEALTHCARE
35 Clinical Psychologist
36 Dentist/Orthodontist
37 Dietician/Nutritionist
38 Home Health Worker
39 Medical/Dental Assistant (e.g., Hygienist, Lab Tech,
Nursing Asst.)
40 Medical Doctor/Surgeon
41 Mental Health Professional (e.g. MFT)
42 Optometrist
43 Pharmacist
44 Physician Assistant
45 Registered Nurse
46 Social Worker
47 Therapist (e.g., Physical, Occupational, Speech)
48 Veterinarian

COMMUNICATIONS
19 Advertising
20 Journalist
21 Public Relations/Media Relations
EDUCATION
22 College Administrator/Staff
23 College Faculty
24 Early Childcare Provider
25 Elementary School Teacher

INFORMATION TECHNOLOGY
49 Computer Programmer/Developer
50 Computer/Systems Analyst
51 Web Designer

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57 Custodian/Janitor/Housekeeper
58 Food Service (e.g., Chef/Cook, Server)
59 Hair Stylist/Aesthetician/Manicurist
60 Interior Designer
61 Skilled Trades (e.g., Plumber, Electrician, Construction)
62 Social/Non-Profit Services

LAW
52 Lawyer/Judge
53 Paralegal
SCIENCE AND ENGINEERING
54 Engineer
55 Research Scientist (e.g., Biologist, Chemist, Physicists)
56 Urban Planner/Architect

63 CLERGY
64 HOMEMAKER/STAY AT HOME PARENT
65 OTHER
66 UNDECIDED

SERVICE INDUSTRY

17. Since entering college, have you:
Joined a fraternity or sorority
Joined a pre-professional or departmental club
Held a full-time job (approx. 40 hours) while taking classes
Been homeless for at least one month
Attended a racial/cultural awareness workshop
Had a roommate of a different race/ethnicity
Played club, intramural, or recreational sports
Played intercollegiate athletics (e.g., NCAA or NAIA)
Held a leadership position in an organization
Voted in a national, state, or local election
Found a faculty or staff mentor
Participated in:
An internship program
Study abroad
Leadership training
Student government
An ethnic/racial student organization
An undergraduate research program
An LGBTQ student organization
A women’s advocacy group
18. How would you rate yourself in the following areas:
[Response categories: A Major Strength, Somewhat Strong, Average, Somewhat Weak, A Major
Weakness]
•

Ability to see the world from someone else’s perspective
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Tolerance of others with different beliefs
Openness to having my own views challenged
Ability to discuss and negotiate controversial issues
Ability to work cooperatively with diverse people
Critical thinking skills
Ability to manage your time effectively

19. During the past year, how much time did you spend during a typical week:
[Response categories: Hours Per Week: None, Less than 1 hour, 1-2, 3-5, 6-10, 11-15, 16-20,
Over 20]
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Studying/homework
Studying with other students
Working with classmates on group projects
Socializing with friends in person
Using social media
Partying
Participating in student clubs/groups
Watching TV/online video content (e.g., Amazon, Hulu, Netflix, YouTube)
Exercising/sports
Working (for pay) on campus
Working (for pay) off campus
Performing household/childcare duties
Commuting
Praying/meditating
Career planning (e.g. job searches, networking)

20. Please indicate your agreement with each of the following statements. This institution
has contributed to my:
[Response categories: Strongly Agree, Agree, Disagree, Strongly Disagree]
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Intellectual and practical skills (including inquiry and analysis, critical thinking, and
information literacy)
Knowledge of people from different races/cultures
Understanding of global issues
Understanding of national issues
Understanding of the problems facing my community
Problem-solving skills
Foreign language ability
Preparedness for employment after college
Preparedness for graduate or advanced education
Ability to conduct research

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21. Please rate your satisfaction with your college in each area:
[Response categories: Very Satisfied, Satisfied, Neutral, Dissatisfied, Very Dissatisfied, Can’t
Rate/Don’t Know]
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General education or core curriculum courses
Laboratory facilities and equipment
Library resources
Technology resources
Tutoring or other academic assistance
Academic advising
Ability to find a faculty or staff mentor
Student housing (e.g., res. halls)
Financial aid package
Student health services
Student psychological services
Career-related resources and support
Campus safety services (e.g., Safe Walk, Public Safety/Police Dept.)

22. Please rate your satisfaction with your college in each area:
[Response categories: Very Satisfied, Satisfied, Neutral, Dissatisfied, Very Dissatisfied]
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Courses in your major field
Amount of contact with faculty
Class size
Relevance of coursework to everyday life
Relevance of coursework to career plans
Overall quality of instruction
Overall sense of community among students
Availability of campus social activities
Respect for the expression of diverse beliefs
Racial/ethnic diversity of the student body
Racial/ethnic diversity of the faculty
Overall college experience

23. What is the average grade you received during your college career, both overall and in
your major?
[Response categories: A or A+, A-, B+, B, B-, C+, C, D]
•
•

Overall GPA
Primary Major GPA

24. In the past year, how often have you:
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[Response categories: Frequently, Occasionally, Not at All]
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Felt depressed
Felt overwhelmed by all I had to do
Attended a religious service
Consumed beer
Consumed wine or liquor
Performed volunteer or community service work
Discussed politics
Sought personal counseling
Discussed religion
Worked on a local, state, or national political campaign
Contributed money to help support my family
Felt that my contributions were valued in class
Felt that faculty encouraged me to ask questions and participate in discussions
Felt anxious
Felt hungry but didn’t have enough money for food

25. Please indicate the extent to which you agree or disagree with the following statements:
[Response categories: Strongly Agree, Agree, Disagree, Strongly Disagree]
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I have felt discriminated against at this institution because of my race/ethnicity, gender,
sexual orientation, disability status, or religion
Faculty showed concern about my progress
There is a lot of racial tension on this campus
Faculty empower me to learn here
If asked, I would recommend this college to others
At least one staff member has taken an interest in my development
I feel valued at this institution
Faculty believe in my potential to succeed academically
In class, I have heard faculty express stereotypes based on social identity (such as
race/ethnicity, gender, sexual orientation, disability status, or religion)
I feel a sense of belonging to this campus
At least one faculty member has taken an interest in my development
I feel I am a member of this college
I have effectively led a group to a common purpose
I will give this college money as an alum
I plan to remain engaged with this college (e.g., campus events, fundraising, admissions)
My political views closely resemble those of my parents/guardians

26. Indicate the importance to you personally of each of the following:
[Response categories: Essential, Very Important, Somewhat Important, Not Important]

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Becoming accomplished in one of the performing arts (acting, dancing, etc.)
Becoming an authority in my field
Obtaining recognition from my colleagues for contributions to my special field
Influencing the political structure
Influencing social values
Raising a family
Being very well off financially
Helping others who are in difficulty
Making a theoretical contribution to science
Writing original works (poems, novels, etc.)
Creating artistic work (paintings, sculpture, etc.)
Becoming successful in a business of my own
Developing a meaningful philosophy of life
Participating in a community action program
Helping to promote racial understanding
Keeping up to date with political affairs
Becoming a community leader
Integrating spirituality into my life
Improving my understanding of other countries and cultures
Adopting “green” practices to protect the environment

27. To what extent have you experienced the following with students from a racial/ethnic
group other than your own?
[Response categories: Very Often, Often, Sometimes, Seldom, Never]
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Dined or shared a meal
Had meaningful and honest discussions about race/ethnic relations outside of class
Pursued (by), dated, or otherwise intimately involved
Felt understood
Had guarded, cautious interactions
Shared personal feelings and problems
Had tense, somewhat hostile interactions
Had intellectual discussions outside of class
Felt insulted or threatened because of your race/ethnicity
Felt ignored or invisible because your race/ethnicity
Studied or prepared for class
Socialized or partied

28. How often have professors at your college provided you with:
[Response categories: Frequently, Occasionally, Not at All]
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Encouragement to pursue graduate/professional study

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An opportunity to work on a research project
Advice and guidance about your educational program
Emotional support and encouragement
A letter of recommendation
Help to improve your study skills
Feedback on your academic work (outside of grades)
Encouragement to discuss coursework outside of class
Help in achieving your professional goals

29. Please indicate your agreement with each of the following statements.
[Response categories: Strongly Agree, Agree Somewhat, Disagree Somewhat, Strongly
Disagree]
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Racial discrimination is no longer a major problem in America
Same sex couples should have the right to legal marital status
Students from disadvantaged social backgrounds should be given preferential treatment
in college admissions
Abortion should be legal
Marijuana should be legalized
Dissent is a critical component of the political process
Realistically, an individual can do little to bring about changes in our society
Women should receive the same salary and opportunities for advancement as men in
comparable positions
The United States should intervene in the wars of other countries
Colleges have the right to ban extreme speakers from campus
Colleges should prohibit racist/sexist speech on campus
Undocumented immigrants should be denied access to public education

30. If you borrowed money to help pay for college expenses, estimate how much you will
owe as of June 30, 2019: (print numbers carefully)
$ _ _ _ _ _ _ .00
31. How much of the past year's educational expenses (room, board, tuition, and fees)
were covered from each of the following sources?
[Response categories: None, $1 to $2,999, $3,000 to $5,999, $6,000 to $9,999, $10,000 to
$14,999, $15,000 or more]
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Family resources (parents, relatives, spouse, etc.)
My own resources (income from work, work-study, etc.)
Aid which need not be repaid (grants, scholarships, military, etc.)
Aid which must be repaid (loans, etc.)

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32. To what extent are the following statements true of you:
[Response categories: Strongly Agree, Agree Somewhat, Neutral, Disagree Somewhat, Strongly
Disagree]
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I have a strong sense of belonging to a community of scientists
I derive great personal satisfaction from working on a team that is doing important
research
I think of myself as a scientist
I feel like I belong in the field of science

33. How confident are you that you can:
[Response categories: Absolutely, Very, Moderately, Somewhat, Not at All]
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Use technical science skills (use of tools, instruments, and/or techniques)
Generate an answerable research question
Determine how to collect appropriate data
Explain the results of a study
Use scientific literature to guide research
Integrate results from multiple studies
Ask relevant questions
Identify what is known and not known about a problem
Understand scientific concepts
See connections between different areas of science and mathematics

34. Rate yourself on each of the following traits as compared with the average person your
age. We want the most accurate estimate of how you see yourself.
[Response categories: Highest 10%, Above Average, Average, Below Average, Lowest 10%]
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Academic ability
Artistic ability
Computer skills
Cooperativeness
Creativity
Drive to achieve
Emotional health
Leadership ability
Mathematical ability
Physical health
Public speaking ability
Risk-taking
Self-confidence (intellectual)
Self-confidence (social)
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Self-understanding
Spirituality
Understanding of others
Writing ability

35. Will you pursue a science-related research career?
Definitely yes
Probably yes
Uncertain
Probably no
Definitely no
36. When thinking about your career path after college, how important are the following
considerations:
[Response categories: Essential, Very Important, Somewhat Important, Not Important]
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Working for social change
High income potential
Social recognition or status
Stable, secure future
Creativity and initiative
Expression of personal values
Availability of jobs
Leadership potential
Work/life balance
Ability to pay off debt
Connection to college major

37. Do you plan to do the following in fall 2019?
Work full-time
Work part-time
Attend graduate/professional school full-time
Attend graduate/professional school part-time
Complete additional undergraduate coursework/Post-baccalaureate program
Participate in a service organization like the Peace Corps, AmeriCorps/VISTA, or Teach
for America
Serve in the Armed Forces
Travel
Perform volunteer work
Stay at home to be with or start a family

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38. With respect to being employed after graduation, which best describes the current state
of your employment plans?
Not actively looking for a position
Looking, but no offers yet
Received an offer for a position, but declined
Currently considering an offer
Accepted an offer of employment
Not planning on employment this fall
39. With respect to graduate or professional school, which best describes the current state
of your educational plans?
Accepted and will be attending in the fall
Accepted and deferred admission until a later date
Placed on waiting list, no acceptances
Still awaiting responses, no acceptances
Will be applying this coming fall
Not applying this fall, but might apply at a future date
No plans to apply to school now or in the future
40. Are you currently registered to vote?
Ineligible
Yes
No
41. Military Status:
None
ROTC, cadet, or midshipman at a service academy
In the Reserves or in the National Guard
On Active Duty
A discharged veteran NOT serving on Active Duty, in the Reserves, or in the National
Guard
42. If you could make your college choice over, would you still choose to enroll at your
current college?
Definitely yes
Probably yes
Probably no
Definitely no

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43. Your current religious preference:
Agnostic
Atheist
Baptist
Buddhist
Church of Christ
Eastern Orthodox
Episcopalian
Hindu
Jewish
LDS (Mormon)
Lutheran
Methodist
Muslim
Presbyterian
Quaker
Roman Catholic
Seventh-day Adventist
United Church of Christ/Congregational
Other Christian
Other religion(s)/Other belief(s)
None

THANK YOU!

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