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* 1. First & Last Name:

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* 2. Email Address:

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* 3. What is your niche?

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* 4. What is the name of your discovery session?

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* 5. What is the name of your signature talk?

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* 6. How many signature talks, workshops or Meetups have you booked?

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* 7. What is your biggest challenge since joining the program? (Answer all that apply)?

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* 8. Finish the sentence - We tend to overestimate what we can get done in a year but underestimate what we can get done in....

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* 9. Based on watching the Recommitment Video, what stood out for you about one mindset shift that may help you feel more supported and be successful in your business?

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* 10. What are you committed to doing to get yourself more support?

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