I want to connect with you and understand your aspirations and needs for your life, and your personal growth and professional development.  Please respond to this brief survey to help me help you!

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* 1. What are your biggest fears and frustrations with reaching your personal or career goals?

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* 2. How important are each of these growth & development topics to you?

  1 = Not Very Interested 3 = Neutral 5 = Very Interested
Business & Career
Career Transitions & Transformation
Finance & Wealth
Health & Fitness
Leadership & Influence
Love & Relationships
Productivity & Performance
Technology & Knowledge Management
Work & Life Balance

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* 3. What is the most important topic I can cover to help you excel your life?

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* 4. What was the last book you read for personal growth or professional development?

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* 5. What else would you like to share so I can best serve you?

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* 6. Contact Information (optional)
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