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What is your number one challenge you would most like to solve in relation to working as a doctor?

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* 1. What is your number one challenge you would most like to solve in relation to working as a doctor?

If you had me all to yourself for 'all day' intensive coaching/mentoring, what are the three biggest challenges you would want me to solve for you or with you?

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* 2. If you had me all to yourself for 'all day' intensive coaching/mentoring, what are the three biggest challenges you would want me to solve for you or with you?

What area of your life are you most wanting to improve - and - how is not improving it, affecting you?

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* 3. What area of your life are you most wanting to improve - and - how is not improving it, affecting you?

What is your first name?

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* 4. What is your first name?

What is your last name?

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* 5. What is your last name?

What is your email address?

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* 6. What is your email address?

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