The Moment Project
The moment that changed your life
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Please take a few minutes of your time to complete this form
Describe the moment that changed your life!
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How did the moment happen?
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Select one option
I made my moment happen!
I had no control over my moment!
How old were you when this moment happened?
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Select one option
18 years old or younger
19-25 years old
26-35 years old
36-50 years old
51-65 years old
66+ years old
How old are you now?
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Select one option
18 years old or younger
19-25 years old
26-35 years old
36-50 years old
51-65 years old
66+ years old
Did you know that this moment would change your life when it occurred?
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Select one option
Yes!
No!
What did this moment most closely affect?
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Select one option
Careers
Personal Life
Relationships
Lastly, what is your gender?
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Select one option
Male
Female
Non-binary
Another gender identity
Prefer not to say
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