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* 1. What is your first name?

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* 2. What is your primary PHONE number?

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* 3. When is the best time to contact you and what TIME ZONE do you live in?

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* 4. Things don't seem to work out the way I planned

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* 5. What do you feel is your biggest obstacle to success?

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* 6. Do you feel confident you have what it takes to be Successful?

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* 7. Do you feel distracted when conversing with people?

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* 8. Do you hear about opportunities after they have happened but not before?

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* 9. Would you be willing to apply some simple techniques to shift your results - that require daily practice?

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* 10. What would you be willing to invest to remove your obstacles to success and live a happier, more fulfilled life?

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