old_contents: import csv
  import io
  
  RESPONSE_PAGE_SIZE = 250  # for pagination of responses when processing for download
  
  
  def flatten_dict(d):
      """Flatten a dictionary where values may be other dictionaries
  
  	The dictionary returned will have keys created by joining higher- to lower-level keys with dots. e.g. if the original dict d is
  	{'a': {'x':3, 'y':4}, 'b':{'z':5}, 'c':{} }
  	then the dict returned will be
  	{'a.x':3, 'a.y': 4, 'b.z':5}
  
  	Note that if a key is mapped to an empty dict or list, NO key in the returned dict is created for this key.
  
  	Also note that values may be overwritten if there is conflicting dot notation in the input dictionary, e.g. {'a': {'x': 3}, 'a.x': 4}.
  	"""
      # http://codereview.stackexchange.com/a/21035
  
      def expand(key, value):
          if isinstance(value, list):
              value = {i: v for (i, v) in enumerate(value)}
          if isinstance(value, dict):
              return [
                  (str(key) + "." + str(k), v) for k, v in flatten_dict(value).items()
              ]
          else:
              return [(key, value)]
  
      items = [item for k, v in d.items() for item in expand(k, v)]
  
      return dict(items)
  
  
  def csv_dict_output_and_writer(header_list):
      output = io.StringIO()
      writer = csv.DictWriter(
          output,
          quoting=csv.QUOTE_NONNUMERIC,
          fieldnames=header_list,
          restval="",
          extrasaction="ignore",
      )
      writer.writeheader()
      return output, writer
  
  
  def study_name_for_files(study_name):
      return "".join([c if c.isalnum() else "-" for c in study_name])
  
  
  def round_age(age_in_days):
      if age_in_days <= 360:
          return round(age_in_days / 10) * 10
      else:
          return round(age_in_days / 30) * 30
  
  
  def round_ages_from_birthdays(child_birthdays, date_created):
      return [
          round_age((date_created.date() - birthdate).days)
          for birthdate in child_birthdays
      ]
  
new_contents: import csv
  import io
  
  RESPONSE_PAGE_SIZE = 500  # for pagination of responses when processing for download
  
  
  def flatten_dict(d):
      """Flatten a dictionary where values may be other dictionaries
  
  	The dictionary returned will have keys created by joining higher- to lower-level keys with dots. e.g. if the original dict d is
  	{'a': {'x':3, 'y':4}, 'b':{'z':5}, 'c':{} }
  	then the dict returned will be
  	{'a.x':3, 'a.y': 4, 'b.z':5}
  
  	Note that if a key is mapped to an empty dict or list, NO key in the returned dict is created for this key.
  
  	Also note that values may be overwritten if there is conflicting dot notation in the input dictionary, e.g. {'a': {'x': 3}, 'a.x': 4}.
  	"""
      # http://codereview.stackexchange.com/a/21035
  
      def expand(key, value):
          if isinstance(value, list):
              value = {i: v for (i, v) in enumerate(value)}
          if isinstance(value, dict):
              return [
                  (str(key) + "." + str(k), v) for k, v in flatten_dict(value).items()
              ]
          else:
              return [(key, value)]
  
      items = [item for k, v in d.items() for item in expand(k, v)]
  
      return dict(items)
  
  
  def csv_dict_output_and_writer(header_list):
      output = io.StringIO()
      writer = csv.DictWriter(
          output,
          quoting=csv.QUOTE_NONNUMERIC,
          fieldnames=header_list,
          restval="",
          extrasaction="ignore",
      )
      writer.writeheader()
      return output, writer
  
  
  def study_name_for_files(study_name):
      return "".join([c if c.isalnum() else "-" for c in study_name])
  
  
  def round_age(age_in_days):
      if age_in_days <= 360:
          return round(age_in_days / 10) * 10
      else:
          return round(age_in_days / 30) * 30
  
  
  def round_ages_from_birthdays(child_birthdays, date_created):
      return [
          round_age((date_created.date() - birthdate).days)
          for birthdate in child_birthdays
      ]
  
subject: bump page size up more to see if it helps