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Benefits of Making the
Changes You Want
First Name
Last Name
Email
Briefly describe the issue you'd like to work on.
Please list 7 benefits of making the change you want.
What is your 1 month goal regarding this issue?
What is your 1 year goal regarding this issue?
What is your 5 year goal regarding this issue?
If I wasn't _______________, I'd be much happier.
Anything else you'd like to share regarding your issue?
Submit