This is a 2 part exercise. Use the standard categories, or make up your own headings as you see fit - write them in next to the title you are replacing.

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Choose your own "right" answers.

A complimentary results report will be emailed to you within 5 days.

Your information will be kept confidential.

By submitting this form, you agree: I am responsible for my own thoughts, feelings, and actions; and for obtaining qualified professional care if needed. This work is not a substitute for medical/psychological treatment, and is not intended to diagnose, treat, or cure. By law, any intuitive impressions are for entertainment purposes only.