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Tune Up Your Life: Happiness Engineering Application, by Dr Ali "Victor" Binazir
An application form for the Tune Up Your Life cohort beginning August 2024. Estimated form completion time: 6 min
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* Indicates required question
What is your full name?
*
Your answer
What is your email address?
*
Your answer
Are you interested in the Tune Up Your Life course, one-on-one coaching, or both?
Course
One-on-one coaching
both the course and one-on-one coaching
Clear selection
In less than 200 words, what's the most important change you would want to derive from participating in this course?
*
Your answer
Which area do you feel you need the most help in?
*
Robust Relationships
Meaningful work
Sound Sleep
Mental Fitness
Physical Fitness
Which area do you feel you're most able to help others in?
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Robust Relationships
Meaningful Work
Sound Sleep
Mental Fitness
Physical Fitness
Is increasing your long-term happiness something you're willing and able to devote 2-5 hours a week on for at least 6 weeks?
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Yes
No
Not sure yet
What is your age group?
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20-29
30-39
40-49
50-59
60+
Where would you place your overall happiness on a scale of 1-10, 1 being the pits and 10 being ecstatic?
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The pits
1
2
3
4
5
6
7
8
9
10
Ecstatic
And finally, how committed are you to being a student of happiness and fully participating in the course?
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not really
1
2
3
4
5
6
7
8
9
10
HELL YEAH
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