Project: Amor Fati
The intake form for Project: Amor Fati! 
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Email *
What's your name?
What's your date of birth?
MM
/
DD
/
YYYY
What time were you born?
Time
:
Where were you born? (Town, City or State)
What areas of life do you feel are most difficult?
On a scale of 1–5, how difficult do you feel your overall 'fate' is?
Not very difficult
Extremely difficult
Clear selection
On a scale of 1–5, how much control do you feel you have over your fate?
Hardly any control
Plenty of control
Clear selection
Is there anything else you'd like to add? For instance, why you are interested in taking part in Project: Amor Fati?
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