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What day did it happen?

• Today
• Yesterday
• Earlier

What time of day did it happen?

• Morning
• Afternoon
• Evening

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What happened?

• I didn't have a signal
• I did have a signal

I was ...

• Indoor
• Outdoor

I was in the middle of ...

• Talking
• Texting
• Using the internet or other data

My phone screen said ...

• Home
• Away
• I don't remember

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Additional Information

• Your WIND mobile phone number*
• Email*
• Postal Code*
  e.g.: L6A7V5

Type the words below:

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