What is your biggest emotional struggle right now?
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Feeling overwhelmed by emotions.
Struggling to forgive myself or others.
Feeling disconnected from God or loved ones.
All of the above.
How often do you feel emotionally overwhelmed?
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Daily
Weekly
Rarely
When faced with emotional challenges, how do you usually respond?
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Avoid or suppress them
Overthink and dwell on them
Seek comfort in prayer, journaling, or talking to someone
What do you believe would help you most right now?
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Tools to manage and process my emotions
Guidance to forgive and let go of the past
Ways to rebuild connections with God or loved ones
Do you feel like you have the support you need to heal emotionally?
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No, I feel alone in this
Sometimes, but it’s not consistent
Yes, but I still feel stuck
First Name
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Last Name
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Email
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Phone
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