First Name
*
Last Name
Email
*
Phone
Level of Daily Stress
*
Your daily stress on a scale of 1 to 10 (1 = lowest)
10
9
8
7
6
5
4
3
2
1
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Level Of Desire To Reduce Your Stress
*
10
9
8
7
6
5
4
3
2
1
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Why are you interested in participating in the Stress Resilience Series, and how do you envision it benefitting your personal life?
*
Share a personal experience that illustrates your passion or importance for this course and why receiving this scholarship is vital for you.
*
Are you committed to attending all eight classes and 3, 1:1 private sessions?
*
Yes
No
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Are you interested in the Online 8-Class Series or In-person 6 Class Series, in Laguna Beach?
*
Online 8-Class Series
In-person 6 Class Series
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