Full Name
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Email
*
Phone
*
Which category best describes you?
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Entrepreneur
Coach/Trainer
Full Time Employee
Doctor
Student
How long have you been in the industry
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Just getting started
1 to 3 years
3 to 5 years
5 years +
What is the biggest goal you want to achieve in life?
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What is the biggest challenge you are facing in your business/career?
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If you were to invest in any of the coaching services, do you have the financial resources?
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Yes, I am ready to invest in myself!
No, I am not ready for this
Anything else would you like us to know?