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Thank you for your interest in the Work/Life Harmony and Balance Circles with Habits for Wellbeing. As Circles are limited to a maximum of 5 participants, can you please fill out the information below, so we can match you to a Circle that suits your needs. Thank you!

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* 1. First Name

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* 2. Last Name

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* 3. E-mail Address (so we can contact you)

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* 4. What Is Your Preferred Day and Time?

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* 5. What is Your Time Zone?

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* 6. Are You Committed to Attending all 12 Weeks?

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* 7. What is your current profession?

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* 8. When it comes to work/life harmony and balance, what do you see as your biggest challenge or area for growth? (please be honest!). 

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* 9. What are you hoping to take away from participating in the Circle?

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* 10. Any other comments?

0 of 10 answered
 

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