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Name:*
E-mail:*
Gender:*
Date of birth:*
Parent email:
( required for consent)*
Phone:*
Zip code:*
Education:*
Do you think that you have face recognition problem?*
Did you have any complications or brain injuries around/after birth?*
Do you have any problems with object recognition?*
Left eye: /Diopters of your glass you wear on this eye? If you do not have any glasses, choose 0./*
Right eye: /Diopters of your glass you wear on this eye? If you do not have any glasses, choose 0./*
Astigmatism:*
Other vision deficit: /Write 0 if you don't have any!/*

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Sponsored by the Ministry of Human Capacities / ÚNKP-17-4-I - New national excellence program. /
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