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* 1. What country do you currently live in? ( You can add your city in the other section, so when I am visiting your country we can have a meetup)

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* 2. 2. What is your age?

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* 3. 3. What is the highest level of school/education you have completed or the highest degree you have received?

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* 4. How Would You Describe Yourself ( you can choose more than one answer and feel free to be more expansive in the other box)

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* 5. How did you find me?

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* 6. What do you do each day that makes your heart sing? If your heart is not singing, what would you love to be doing that would make it sing?

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* 7. What areas are you interested in getting more of from me?

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* 8. What Products and Services Would You Like to See Me provide for you. (Tick all that apply) Use other box if there is something else you would like

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* 9. What are your top 3 problems in your life that you want an answer to right now? OR What keeps you awake at night?

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* 10. Thank you. I really appreciate your time. To be entered to win a Heart Whisper Coaching session where you get your own digital heart whisper painting, plus clarity, put your name and email below.

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