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* 1. What are your top 3 challenges in your personal relationships?

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* 2. What are your top 3 challenges in your career?

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* 3. What are your top 3 challenges in your finances?

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* 4. On a scale of 1-10 with 10 being the most painful, how painful are the challenges you mentioned in your personal relationships?

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* 5. On a scale of 1-10, with 10 being the most painful, how painful are the challenges you mentioned in your career?

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* 6. On a scale of 1-10 with 10 being the most painful, how painful are the challenges you mentioned in your finances?

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* 7. What is your first name?

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* 8. The email address where you'd like to receive free gift & information about improving or solving the challenges you face.

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