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* 1. When it comes to taking action towards your dream (personal, career, or business) what is the single biggest challenge, frustration or problem that you’ve been struggling with?

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* 5. What’s your best contact information so I can make sure you’re notified about the new program when it’s made available? 

Phone Number (Optional):  Lastly, I may wish to follow up with a few people on the phone personally to better understand your situation. Would you be open to speaking on the phone for a few minutes on the condition that I promise not to sell you anything? If so would you please leave your phone number below? Thank you!

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