The Great Reset Welcome Form
Connecting our communities through open, respectful conversations on the challenging issues of the day.

Thank you for your interest in participating in our Great Reset conversations. Please answer the following questions so we can know more about you. All information you provide will be confidential.
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Email *
Name (First and Last)
Today's date: *
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How did you hear about The Great Reset?
If you know what is the name of the person who referred you to this Welcome Survey, or where would you like to participate, please share here?
Please confirm that you're interested in becoming a Great Reset participant
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How do you prefer to participate?
Would you also be interested in becoming a Great Reset host?
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Your age?
Where do you reside (scroll down to 'other' if outside United States)? *
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