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* 1. Demographic Information

Think of yourself in Holistic terms, that is, think of four aspects of yourself - Physical, Emotional, Mental and Spiritual.

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* 2. What do you identify as the area of your greatest strength, that is, the area you are most in balance?

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* 3. What do you identify as the area of greatest need?

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* 4. What one (or more) steps will you begin to do to increase balance in your area of greatest need? Remember even one small change adds up, even if that change is to get more information about that area.

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* 5. What feeds you, gives you joy, fills you, restores you? Do you make enough time in your life for that which restores you? If not, what can you do to increase the joy in your life?

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* 6. Your certificate for completion of the webinar will open after submitting this survey. It is your responsibility to download, and save or print the certificate for your records.

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