Client Preparation Questionnaire

Thank you for taking part in this questionnaire. I appreciate your openness and transparency. This information is treated with the utmost privacy. 

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* 1. What is your first and last name?

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* 2. Email Address

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* 3. Best Daytime Telephone Number

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* 4. What is your full time occupation/business role?

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* 5. What area(s) of life would you like to work with Harun Rabbani?

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* 6. How much urgency is there for you in dealing with this issue?

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

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