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* 1. First name:

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* 2. Last name:

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* 3. Company/affiliation:

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* 4. What is your job role?

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* 5. What is your area of expertise?

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* 6. Main concern(s) regarding deployment of assistive robotic systems or services:

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* 7. Questions for the experts on their topic areas:

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* 8. Email address:

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