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* 1. Do you relate to the following statement?

"If I have to fill this out I am going to cry."

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* 2. Finish this sentence:

"My long term and ultimate goal that I need support with is..."

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* 3. Which of the choices below matches your feelings most closely?

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* 4. Does this sound like you?

"I would benefit from weekly check-ins for deadlines, updates, and/or accountability."

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* 5. Does this sound like you?

"I need support where I can randomly ask a question right when I have it or it is worthless to me! Deal breaker to the max!"

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* 6. What about this statement, does this sound like you?

"There is NO WAY I can virtually meet with someone for focus/follow through/ organization/help/support. I NEED in person."

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* 7. On a scale of 1-5 where 1 is TOTALLY DISAGREE and 5 is TOTALLY AGREE where do you rate yourself on the following statement?

"I need a total getaway. There are just way too many distractions at home. Please give me a night or 2 away."

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* 8. Which statement best matches your location/living situation?

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* 9. Pick ALL that apply to you.

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* 10. I need your Name/email address!

Please type your Name and email address here so that I can make sure that I match YOUR answers to YOU to get your customized program party started!


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