Module Self-Assessment

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Module

1. What steps had you taken prior to this module to reduce exposures to toxicants in your life?

Include anything you were already doing — diet, products, habits, previous research, etc.

2. Before this session, which of the following were you not doing?

Check all that apply.

3. What surprised you most from this session?

4. What will you change immediately — this week?

Even one Detox Upgrade counts. Be specific.

5. What do you plan to change in the short term — the next 1 to 3 months?

6. What long-term changes do you envision?

Think about Tier 3–5 upgrades over the coming year or more.

7. On a scale of 1–5, how confident are you that you will make at least one lasting change from this module?

Not confident Very confident

8. Anything else you’d like to share with your instructor? (optional)

🔒 This form is for enrolled participants only. Your responses are stored securely and reviewed by the program administrator. Your certificate will be issued automatically upon submission.

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