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* 1. Name and city:

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* 2. What's your best email address?

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* 3. Describe your current life situation, and what it feels like:

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* 4. Describe what you WANT your life to look and feel like:

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* 5. What are you currently doing that's working for you?

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* 6. What's the biggest obstacle that's getting in the way of what you want?

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* 7. What do you need to change in order for you to overcome this obstacle?

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* 8. What specifically draws you to work with me?

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* 9. On a scale of 1-10, how willing are you to invest in yourself and creating the life you want?

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* 10. Name three of the biggest results you'd like to get from working with me:

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