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* 1. WHAT IS THE SPECIFIC HEALTH CHALLENGE YOU ARE FACING

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* 2. IF YOU ARE FACING THE CHALLENGE OF CANCER  tell us a bit more about your diagnosis.

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* 3. We want you to have perfect health, can you tell us a bit about the treatment you are undergoing

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* 4. Where should we send you special resources to help you transform your life and live in perfect health

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* 5. Finally, to be able to send you information about a special event in your city/state/country or to send you some of our awesome products can you tell us your mailing address so that you aren't left out.

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