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Personal Details

Let’s start with introductions:

Your First Name *

We understand there is someone you're having difficulty communicating with. How do you know them? *

What is this person’s first name? *

Where do you live?

Country *

Postal Code *

Step 2 Question

[user_firstname], please think about how you currently communicate
with [name-of-ex] when answering these questions.






Communication with [name-of-ex] is always a pleasant experience. *

Technology helps me to positively communicate with [name-of-ex]. *

Step 3 Question

Before I send messages, I think about the best way to convey messages in a positive way. *

Before I send messages, I always think about how they may impact others. *

Step 4 Question



We are delighted that you have taken the first step to
connecting right and communicating safely.


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