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* 1. What is your full name?

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* 2. What is your best email address?

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* 3. What is your best phone number?

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* 4. What is your Instagram username/URL and your Facebooks username/URL?

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* 5. What is your primary website URL (the one that makes you the most income)?

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* 6. What is the biggest problem in your business right now?

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* 7. What is your current monthly gross revenue?

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* 8. If we gathered together 3 years from now, what would your personal life and business look like, in order for your to be fulfilled, joyful and at peace?

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* 9. "RISE Mastermind" is my inner circle mastermind and is by application only. There are limited seats available (25). Please tell me WHY you feel we would work well together.

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* 10. I want to understand if you are ready to LEVEL UP in January 2019. Which of these statements best reflects you? (Check one)

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