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Some of these questions ask you to go out and do something so you might want to just read the survey first then come back and take it later.  Or just fill it out and leave parts of it empty.

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* 1. What is your name? If you want to remain anonymous use a fake name. Your responses (or part of them) may be read on the podcast or published.  

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* 2. What, if any, gender do you identify with?

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* 3. How old are you?

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* 4. Share a moment(s) in your life where you wish you could go back in time and say something to yourself.  Describe the situation, your age at the time and what you would say to yourself.

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* 5. Take anything you want from nature and decide who you want to give it to.  It can be someone you love or are angry with or it can be yourself.

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* 6. Why did you choose this person and this gift?

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* 7. Pick a positive moment in your day.  Use all your senses.  What did you see, feel, smell and think?

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* 8. If you could have any superpower what would it be and what would you do with it?

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* 9. If you have that superpower is there something you're afraid might happen and if so how will you handle that?

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* 10. Do you have any comments or suggestions to make the Mental Illness Happy Hour podcast better?

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