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Functional Emotional Fitness™
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Gender and DOB
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Date of Birth:
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Format: September 19, 2021
Demographics
Occupation:
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Education:
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High School Graduate
1 or More Years of College
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Veteran:
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Primary Issue:
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Depression
Anxiety
Guilt
Anger
Sleep
Hopelessness
Self-Esteem
Eating Behavior
Decision Making
Hatred (Self-Others)
Self-Confidence
Motivation and Focus
Communication
Relationship Satisfaction
Stress
Addiction
Gut Health
Other
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