Template:Emoew survey 2

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Usage:

{{Emoew survey 2|
| Do you think editors should have their identity verified by Wikimedia or an Internet service (like VeriSign) = 
| Do you think the results of identity verification should remain private at Wikimedia or an Internet service = 
| Do you think editors should also have their academic credentials verified = 
| Do you think the results of academic credential verification should remain private at Wikimedia = 
| Additional comments =
| Your username = 
}}