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* 1. What is your name?

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* 2. What is your email address?

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* 3. 3. Is email going to work as the source of communication for booking & information about future coaching conversations?

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* 4. What has you interested in Coaching/Mentorship?

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* 5. What are your top 3 priorities right now?

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* 6. What are you struggling with the most right now?

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