Thanks for taking a minute to share some of your experience with us. 

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* 1. Your privacy is important to us.  Do we have your permission to anonymously draw upon your answers (removing any identifying info) as a part of our research and our educational efforts?  

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* 2. Tell us your story so far, in terms of mental/emotional challenges and your own journey to seek more healing. You really can't say too much. We'll read it all!  

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* 3. To what degree would you say you've experienced deeper, more lasting healing in your own life?

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* 4. If you haven't mentioned this yet, what would you say have been the most significant barriers or challenges in your own journey towards deeper, more lasting healing?

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* 5. What would you say have been the most important turning points or positive catalysts in your own journey towards deeper, more lasting healing?

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* 6. Would you be open to having your story featured in a video series highlighting the experiences of those who have found more lasting healing in their lives?

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* 7. Would you be open to providing mentoring encouragement to someone else who is looking for support and insight on their own journey to deeper healing in their life?

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* 8. What's your best email contact where we could reach out to follow-up? (provide your phone too if comfortable - it will only be used for this purpose)

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* 9. Is there anything more you'd like to share from your experience that would be helpful for us to know or understand?

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* 10. Are there any specific questions you'd like to ask us - or suggestions you'd like to make on things to consider? 

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