Please complete this survey to receive your "Five Ways to IMBUE the Beautiful You" and be entered to win a free Kindle version of The Back Forty IMBUE Journal (when published).

Thank you for your participation!

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* 1. What is your gender?

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* 2. What is your age?

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* 3. Which logo do you like the best?

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* 4. If you could wave a magic wand and have your biggest issue or challenge concerning your unique beauty go away, what would it be?

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* 5. Why do you think that is your biggest issue or challenge?

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* 6. What would be different, how would you feel, and how would it affect your life if that issue or challenge went away?

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* 7. When you visualize your authentic self, what do you see?

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* 8. Honestly speaking, if there was anything between you and falling in love with yourself, what would it be?

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* 9. What would help you in finding your greatest self expression (e.g. support, systems, communities, etc.)?

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* 10. Your email address?
(So we can send you your free gift - Five Ways to IMBUE the Beautiful You - and enter you into our raffle to win a Back Forty IMBUE Journal when published).

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