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Welcome!

In this time of uncertainty, with the high rise of anxiety, we would like to propose a process of teaming up with another one or two individuals who together can provide relational support and be accountable to each other. If you are interested in pairing up for this initiative, we would like to ask you to participate in this quick survey to help us find someone who can pair better with you.

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* 1. Your Contact Information

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* 2. Age Range

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* 3. What are you up to in life? (check all that apply)

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* 4. If you had to scale yourself, what are your general anxiety / stress levels at this moment (1 is low, 10 is HIGH)

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

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* 5. What are the main factors that are causing you to feel anxious and stressed? Select all that apply....

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* 6. As you look at participating in this program are you:

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* 7. For a Buddy on this journey, do you prefer.....

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* 8. What expectations do you have for your accompanying buddy.  Select all that apply.....

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* 9. What can you contribute to the journey of your accompanying buddy? Select all that apply...

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* 10. Would you be open to the possibility of a third individual joining your group (if available)?

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