* 1. What is your first name?

* 2. What is your last name?

* 3. Company Name:

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

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

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

* 7. What does that word mean to you?

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

* 9. Phone Number

* 10. email

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