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FQD: Mini Wellness Picnic Form
Please take 2 minutes to fill in this form. This will secure your spot for lunch
and a beautiful swag bag to help maintain your well-being on this spiritual journey.
* Indicates required question
Email
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Your email
First and Last Name
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Your answer
What is one area in your life you have grown in the past year?
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Health
Wealth
Relationship
Career
Spirituality
Are you truly happy with where you are in life right now?
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Yes
No
Do you have any children?
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Yea
No
What is one achievement you are most proud of in your spiritual journey?
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Your answer
If you could live anywhere, where would it be? Where do you live now?
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Your answer
If you could go into the future, what year would you travel? Why?
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Your answer
Are your current routines getting you closer to your dream life? What can you do to change it?
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Your answer
Name two things you wish to see more of in your community.
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Your answer
List two of your strengths and weaknesses.
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Your answer
What do you bring to our community?
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I am an intuitive healer
I have a Garden
I am Vegan
I know people that know people
I am here to learn
How knowledgeable are you about your Chakras Energy?
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Beginner (I know there's Seven)
1
2
3
4
5
Advance (Envision my Higher-Self)
Facebook and/ Instagram page (@yourname)
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Your answer
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