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* 1. I am feeling stuck in my life right now.

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* 2. I am feeling busy or overwhelmed with my work or daily tasks/obligations.

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* 3. I am experiencing (or about to experience) significant changes in my work and/or life.

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* 4. I am considering a change in my life, but I haven't had any success with this and/or don't know where to begin.

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* 5. I want to make positive improvements in my life and/or become more intentional with my priorities on a daily basis.

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* 6. I am satisfied with the level of meaning and purpose in my daily work and tasks.

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* 7. I would be interested in taking an online course or series if it included one or more of these potential titles (check all that appear interesting).

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* 8. My top three areas of interest (from the above list) are:

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* 9. Regarding projected costs to develop, promote, and present a single online class (2 hours) with activities, worksheets, and interactive discussions, how much should it cost (i.e. how valuable would this be to me)?

0 600
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i We adjusted the number you entered based on the slider’s scale.

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* 10. Regarding projected costs to develop, promote, and present a 3-week course (6 hours of class) with activities, worksheets, and interactive discussions, how much should it cost (i.e. how valuable would this be to me)?

0 1800
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i We adjusted the number you entered based on the slider’s scale.

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* 11. If I had to rank my preferred day and time for an online class or series, I would prefer:

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* 12. My age range is:

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* 13. Please fill out the below information to have your votes taken into consideration. Your responses will be kept strictly confidential within our office, solely used to help the Director of Business Development create class topics tailored to the greatest areas of need and interest.

We will send you more information when the class(es) are announced and/or available. Thank you!

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