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Thrive Reset 7-Day Challenge Registration Form
First name
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Last name
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Email
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Phone
Occupation
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What are your main goals for joining the Thrive & Reset 7-Day Challenge? (Please select all that apply)
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Reduce stress and burnout
Improve physical wellness
Enhance emotional well-being
Gain mental clarity and focus
Build a supportive community
Build sustainable habits for long-term balance and joy
On a scale of 1-10, how would you rate your current level of stress? (1 being the lowest, 10 being the highest)
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1-2
3-4
5-6
7-8
9-10
What specific areas are you most interested in exploring during this challenge?
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Taking Control to identify and release stressors
Heal Holistically by nurturing your mind, body and soul
Reimaging Your Life by envisioning a thriving future
Implementing Strategies: Building simple, effective wellness strategies
Valuing yourself by prioritizing your well-being unapologetically
Empowering Growth by sustaining transformation with long-term tools
Other
Consent to Follow-Up
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Yes, I agree to be contacted after the challenge for feedback on my progress towards my goals.
Full Participation
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Yes, I agree to participate fully in the challenge to make progress towards my goals.
No, I won't be able to carve out 10-15 minutes per day for the challenge.
Maybe. I'm unsure if I can committee 10-15 minutes per day to participate in the challenge to thrive and reset.
Please share any additional comments or expectations you have for this challenge:
Submit
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