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Worksheet

CSLC Program Questionnaire

1. ➜

First Name

2. ➜

Last Name

3. ➜

Email Address

4. ➜

What are you deeply passionate about?

5. ➜

What vision do you carry for yourself and/or humanity and/or the Earth?

6. ➜

What do you deeply desire to be amplified, or to create, during your time in the program? (this maybe an internal state of being or actualising something tangible)

7. ➜

What frightens or stops you (if anything) from creating your heart's desires, passions, or vision?

8. ➜

What is one thing you are grateful for?