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Participant Survey

This workshop is for those serious about recovering from a breakup and moving on with their lives. This survey will help me prepare for you and ensure you have the best experience possible.  It should only take a couple of minutes to complete. Upon completion, you’ll receive the meeting login information.

Breakup to Breakthrough Workshop Pre-Survey
First Name * First Last Name * Last Email * Phone
Are you currently in a serious relationship?
Your most recent breakup was:
What were the symptoms you experienced following your breakup?
50
Will you be on camera and engaged the entire workshop?
Will you remove all distractions and make sure your face is well lit during the workshop?
Are you ready to invest time and money in your personal development?
Are you available to schedule a free follow-up clarity call with Joe to discuss your goals?