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The following is a Life Clarification Application, available for viewing only. If you feel the need to begin a Life Clarification Process with us, please sign up with our free membership program to submit the application of your choice.

View Other Applications:
Clarifying Emotions | Inner Conflicts | Making Decision | Problem Solving Or Creating | Other
Already a member? Click here for the official Application!

OTHER ISSUES
You are concerned with an issue which does not fall into the other 4 mentioned categories. Explain it to us and we will try to help you gain clarity about it.

Sending this form affirms that you have read and agree with our Terms of Agreement.

You may choose not to answer any questions.

PERSONAL INFORMATION
1. First Name:
   Last Name:

2. Email address:

3. Age:

3.Gender:

QUESTIONS CONCERNING YOUR PRESENT GOAL OF ANALYZING AN ISSUE WHICH CONCERNS YOU
1. THE ISSUE

The issue I want to analyze is:

2. MY NEEDS

I want to understand and resolve the above mentioned issue because:

3. MY EMOTIONS

This issue creates the following emotions within me:

4. MY IDEAL SOLUTION for this issue would be:

5. Other information which you would like to briefly share with us: (We will have an opportunity to go into more detail in future communications)

Based on what you have shared with us here, we will send you a new set of questions to help you understand this emotional mechanism even more deeply. You will answer if you like.

Already a member? Click here for the official Application!
Not a member? Join today - it's free!

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