Be YOUR Change Intro
Name (Write "Anonymous" if you wish)
Email address (Create a fake one if you wish to stay anonymous) *
What is your love language? Check all that apply *
Required
Most interesting fact about yourself? *
Do you consider yourself an extrovert or introvert?
Clear selection
What do people admire about you the most? *
What are you hoping to get out of this process? *
What are you strengths? *
What are your weaknesses? *
What are you trying to accomplish this year or month? *
What do you think you need to do to double the impact of that accomplishment? *
What have you tried and worked? *
What have you tried and did not work? *
What holds you back? *
Which program interests you? Select all that apply *
Required
Which approach interests you? Select all that apply. *
Required
Preferred communication method?
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