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* 1. Name

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* 2. Email Address

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* 3. Phone Number

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* 4. What is your preferred way of contact?

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* 5. Area of Interest

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* 6. What would you like to accomplish within the next 90 days?

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* 7. List 3 things that prevent you from acheiving your goals?

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* 8. What is something that you are doing now to move you closer to acheiving your goals?

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* 9. Are you ready to Nail It and launch into success in business and life?

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