Heartscape Quest - Heart's Alchemy

PRE-Journey Questionnaire (Anonymous)

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* 1. Briefly state what brings you to participate in this QUEST?

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* 2. Do you have someone who is supportive in your life?

Yes

No

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* 3. Do you have a practice that helps you to cope with stress and deal with emotional challenges?

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* 4. Are you in a relationship? If yes, are you happy in this relationship?

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* 5. What are your top 3 stressors affecting your personal and/or professional life?

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* 6. What do you want to achieve from participation in this QUEST?

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* 7. Are you ready and willing to take full ownership for your health and your life? If yes, why is it important to you at this time?

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* 8. Any additional information you would like to share?

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* 9. Please select your age range?

18-24

25-34

35-44

45-54

55-64

65+