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First Name

Last Name

Age 18-24 25-34 35-44 45-54 55-64 65-74 75 years or older

Email address

Phone Number

Profession Analyst Financial Institution Institutional Investor Portfolio Manger Other

Income Less than $20,000 $20,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 Over $100,000

What are your favorite industries?

How long have you been invested in micro caps? Less than One year 1-2 years 2-4 years 4-6 years More than 6 years

How much do you have invested in micro caps? Less than $10,000 $10,000 to $20,000 $20,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 Over $100,000