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* 1. What is your first and last name?

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* 2. What type of Health Coach are you? (nutrition, fitness, ND, energy healer, etc.)

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* 3. At what email address would you like to be contacted?

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* 4. What is your phone number,  city, country and Time Zone?

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* 5. Which of the following best describes you?

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* 6. What stage are you at?

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* 7. What is your #1 biggest business/marketing challenge right now?

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* 8. Please rank the following in order or importance.

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* 9. On a scale of 1 to 10 how important is growing your health coaching business? 
0 = Not at All    5 = Somewhat    10 = I am 100 percent committed

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* 10. What else would you like me to know that is important to you?

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