Please provide the information that you recorded while you participated in the practicum below. 

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* 1. Name

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* 2. Email Address

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* 3. Have you previously received the flash technique?

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* 4. One or two words that remind you of target #1

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* 5. Disturbance level when you first thought of target #1 above (beginning of the workshop)?

0 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 6. One or two words that remind you of target #2

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* 7. Disturbance level when you first thought of target #2 above (beginning of the workshop)?

0 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 8. Ending disturbance level of target #1 at the end of the Practicum?

0 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 9. Disturbance level of target #2 at the end of the Practicum?

0 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 10. Is it okay to send a follow-up email to see if this result has held? (If not, your results will not be included in the research.)

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* 11. Name (optional)

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* 12. Comments about your experience with the Flash Technique or today's workshop (Optional).

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