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* 1. What is your name?

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* 2. What is your age?

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* 3. Describe in as much detail as possible the challenges that you are currently working to overcome.

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* 4. Do You Find Joy in Simple Things?

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* 5. If you were to receive the most ideal support you could imagine, what would that look like? 

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* 6. Are you experiencing negative self-talk? 

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* 7. Do You Often Wonder What Your Purpose In Life Is?

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* 8. Are You Ready To Make Changes To Enhance Your Life?

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* 9. What best describes you?

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* 10. Where Can I Email Your Results?

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