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* 1. Contact Information

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* 2. Which category below includes your age?

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* 3. What is your ethnicity?

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* 4. Which of the following best describes your current occupation?

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* 5. How meaningful do you feel your work is?

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* 6. What social networking websites do you have an account with (like Facebook or Twitter)?

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* 7. How often are you on social media, ex. - monthly, weekly, daily, 1-2 hours a day, 2-4 hours a day, or all day?

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* 8. If you have a church affiliation, what ministries are you involved in, if any?

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* 9. Why are you interested in joining this road trip?

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* 10. Are you willing to 1) buy the book if you don't have it already 2) commit 30 minutes daily to reading one chapter a day in Roadmap to Destiny & answering each day's questions for reflection as well as 3) post feedback, quotes or reflections about your reading on a regular basis throughout the 21-day journey on your social media pages?

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