Could you briefly describe your current circumstances and how you feel about them?
Challenging, but hopeful Stable and content Uncertain and anxious Thriving and optimistic
How would you rate your self-esteem and self-worth at this moment?
Low Moderate High
If you've faced job loss recently, could you share how that has affected you?
No job loss Loss impacted me emotionally Loss led to financial struggles Loss prompted career reevaluation
All set, how can we reach you?
Name
Email
Phone
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