Data Privacy Questionnaire

Which of the following areas of Sensitive Data will you be collecting?

Personal data revealing racial or ethnic origin

Personal data revealing religious beliefs

Personal data revealing mental or physical health diagnosis

Personal data revealing sexual orientation

Personal data revealing citizenship or immigration status.

What address can users use to send opt-out notices to?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What phone number can users use to opt-out?

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