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|colspan=3 class="q4"|''{{{text|}}}
|colspan=3 class="q4"|''{{{text|}}}
|colspan=4 rowspan=3|{{{other|}}} {{{Choice1|}}} {{{Choice12|}}}
|colspan=4 rowspan=3|{{{other|}}} {{{Choice1|}}} {{{Choice2|}}}
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|colspan=3 class="q4"|{{{req|}}}
|colspan=3 class="q4"|{{{req|}}}