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* 1. Address

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* 2. Rank in order with 1 being the most important in your life:

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* 3. Are you currently in a relationship?

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* 4. What is your biggest daily obstacle/challenge?

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* 5. Describe your current business including your ideal client, monthly income, what you sell and how people work with you.

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* 6. Describe the spiritual, energetic, physical, intellectual and emotional trainings or teachings you've experienced that help you as a relationship coach and a human.

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* 7. Why do you desire to be mentored as a relationship coach by Marla?

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* 8. What would you want to accomplish in your life after 6 - 12 months?

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* 9. Rate your current level of overall happiness in your business.  (Ten is the highest level of happiness.)

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* 10. Rate your sense of urgency to implement changes in your business.  (Ten is the highest level of urgency.)

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* 11. Anything else you'd like to add?

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