What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

Company Name:

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* 3. Company Name:

Share 1 obstacle you had to move through?

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* 4. Share 1 obstacle you had to move through?

What did you say to yourself that had you move through this obstacle?

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* 5. What did you say to yourself that had you move through this obstacle?

What’s one word you can tell our listeners that describes you?

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* 6. What’s one word you can tell our listeners that describes you?

What does that word mean to you?

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* 7. What does that word mean to you?

When you look at your whole life now and how you moved through these obstacles, how is this showing up in your life?

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* 8. When you look at your whole life now and how you moved through these obstacles, how is this showing up in your life?

Phone Number

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* 9. Phone Number

email

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* 10. email

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