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* 1. What topics are you most interested in learning about? Please tick all that apply. 

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* 2. What format do you prefer to receive information?

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* 3. What do you MOST want in your career right now?

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* 4. What do you most want to know from me? 

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* 5. Would you be interested in a home-study program?

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* 6. If you answered yes, what topic or topics would you like me to cover?

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