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Emotional Archaeology Expedition Application
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Full name
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Your answer
Email address
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Your answer
Phone number
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Your answer
Are you able to commit to all 3 in-person workshops?
*
Yes!
Other:
In a few sentences, please tell us why you would like to be part of the program?
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On a scale of 1-10 how would you rate your over-all physical health at the moment?
Poor
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Perfect
Clear selection
On a scale of 1-10 how would you rate your over-all mental health at the moment?
Poor
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2
3
4
5
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7
8
9
10
Perfect
Clear selection
What are you hoping to gain from being part of this program?
Your answer
Do you have any concerns about joining this program?
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Do you have any special needs or requirerments?
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