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* 1. On average, rate your energy on a scale from 1 (very low) to 10 (very high)

1 5 10
i We adjusted the number you entered based on the slider’s scale.

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* 2. Are you happy with that number?

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* 3. What are 3 things that boost your energy?

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* 4. What are 3 things that deplete your energy?

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* 5. What's holding you back from having more energy?

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* 6. How would your life improve if you had more energy?

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* 7. What would you like to know about how you could better manage your energy?

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* 8. Your name and email, so I can contact you if your name is drawn for giveaway!

T