The Grand Awakening Pre-Registration and Application
Congratulations on deciding to make an investment in your future. Please complete the following questionnaire to begin your journey with the Reboot My Life Foundation in Laurel Highlands, Pennsylvania in November 2021.
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Email *
What is your full name? *
What is your phone number? *
What is your mailing address? *
Please tell us about yourself. *
What one thing about yourself or your life would you change if you could? *
Have you been adversely affected by Covid? If so, please share.
What areas of your life have you had the most success? *
Required
What area(s) do you want to work on or see more growth? *
Required
Do you have a plan to address the areas you want to work on? If so, please tell us about it. *
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