Name *

Email Address *

What are the things you think you are not being allowed to do that you would love to do? *

What would you do for the next month if someone waved a magic wand and you no longer had those things stopping you? *

What would be your day-to-day activities? *

What are the obstacles to doing these activities, beyond getting permission? (For example, do you have all the resources to do those things?) *

If you could focus on more meaningful work, what would that work be? *