Empowered Former LDS: The Podcast

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What's your name?

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Relationship Status

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What is your age?

18 to 25

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What have been the most difficult things for you regarding the Mormon church?

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What are your greatest accomplishments? What are you most proud of in your life (go ahead and brag -- no one will hold it against you!)

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What would you most like to change about yourself? List as many things as you can think of.

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What are your greatest worries and concerns? List as many as you can think of.

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What do you think it means to be "empowered?"

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SELF-CONFIDENCE: How confident are you about your current beliefs and view of the world? (select as many as apply)

I am 100% confident that my way of seeing things is the right way to see things.

I am mostly confident (greater than 50%) that my way of seeing things is the right way to see things.

I am somewhat confident (less than 50%) that my way of seeing things is the right way to see things.

A have zero confidence that my way of seeing things is the right way to see things.

I don't think there is a "right way to see things."

I know that I have been wrong before. I expect that I will be wrong again. Maybe I am even wrong right now!

I sincerely believe that I am never wrong about anything.

Other (Please specify)

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SELF-ASSESSMENT: If you had to choose only ONE of the above thoughts/emotions to describe you, which would you choose? (Pick one: shame, guilt, apathy, grief, fear, desire, anger, pride, courage, neutrality, willingness, acceptance, reason, love, joy). Please explain why.

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WHERE I WANT TO BE: If you had to choose only ONE of the above thoughts/emotions to describe the person that you want to be all of the time, which would you choose? (Pick one: shame, guilt, apathy, grief, fear, desire, anger, pride, courage, neutrality, willingness, acceptance, reason, love, joy). Please explain why.

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Would you like to be interviewed and share your story on the Empowered Former LDS Podcast?

Yes! Let's do this!

No, thank you, I'll just listen.

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What would you most like to talk about for your episode of the Empowered Former LDS Podcast?

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Do you give Glenn Ostlund and Wendi Jensen permission to publish your voice and image as part of the Empowered Former LDS Podcast?

Yes

No

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Schedule a time to talk to Wendi and Glenn here: https://calendly.com/d/djq-kyv-356/empowered-former-lds-the-podcast