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ioc Daoland Application Form
ioc Daoland Application Form
Please be as complete as possible so that we are both well prepared when we talk.  Let's both get as much out of this to see if the program is what you need and want!
10Questions
ioc Daoland Application Form
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  • English (US)
  • 1
    This way I know who I am talking to,
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  • 5
    Your choice is not a permanent choice, in our conversation you come to learn about what you need and want.
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  • 6
    What do you think the Daoland fasttrack program can help you with in the above fields?
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  • 7
    What aspects of your personality, health or life environment are holding you back to fulfill your expectations and needs?
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  • 8
    You might be busy with improving your life for some time, but understanding the need to change is a great help in actuall change.
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  • 9
    There is no need to fill anything here. This widget is to warn me when your submission is made so i can react asap
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  • 10
    I need your consent to call you or email you to talk about your choices. I Aim to contact you persoanlly within the shortest time possible when you send in the form. If you concent below with a yes, also please ad what medium you like me to contact you,
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  • 11
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    Pick a Date
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