Mind ~ Body ~ Soul Course
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First and last name *
Email address *
Phone number *
What do you do for a living? *
How did you hear about this Mind ~ Body ~ Soul Course? *
If you were refered, who referred you to this group?
What interested you most about joining this 21 day group? *
Are you currently on Facebook?   *
If so, are we friends?  (Please note you will need to be on my friends list so I can add you to the group). *
What are your current life goals?  What do you want to accomplish most? *
What do you struggle most with in reaching these goals? *
What area in your life do you feel is MOST out of balance right now? *
Please indicate which of the following you're engage in on a regular basis. *
Required
Which of the following do you feel apply to you? *
Required
Over the next 21 days, you will be asked to commit to yourself from 15-30 mins per day.  Do you feel you are ready to make that investment in yourself? *
What do are you hoping this group provides to you? *
Do you agree to watch the daily videos and post your thoughts in the thread below each video? *
Do you agree to not only watch the videos and post your thoughts, but to apply the practices you are learning into your life?  Not to say you will connect with all of them but if you don't implement any of the teachings, then your life will remain the same.   *
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