The Getting unSTUCK Together
What is your first and last name? *
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What is your email address? *
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Where do you live? *
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Tell me a bit about your life and what's going on now in your life. *
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How is (what you wrote above) affecting you? *
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Why do you think you are feeling the way you are feeling? (If you feel like you already answered this, it's ok. Please write it again. It's important to me to get clarity.) *
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What are you looking for in your life? *
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Do you believe you have the ability to feel better/feel differently than you are now? *
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Do you have a way to help you feel better? *
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Are you ready to change how you feel? *
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How did you hear about me? *
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Please note anything else you would like to share with me.
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