EAM Experience Questionnaire
After Completing this short questionnaire (takes 2-5 minutes) you will be directed to AJ's calendar where you'll be able to book your Zero Obligation 15-30 Minute Consultation Call. Click Next to Get Started!
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Have you ever invested in a high level coach, mentor or mastermind program?
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Yes
No
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What are the 3 biggest challenges you're facing in your practice right now?
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After Working With Dr. Jeremy and The EAM Team, What Are The Top 3 Things You Would Like To Have Accomplished.?
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In A Few Short Words Tell Us Why You'd Make A Great Fit For This Mastermind?
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This Mastermind is a serious investment and space is extremely limited. Please choose one of the following options that best describe you.
I understand that the EAM Experience full pay price is $7,497. If accepted I’d likely prefer a payment plan even if it meant paying a slightly higher price.
I understand that the EAM Experience full pay price is $7,497. If accepted I’d prefer to get the best price and pay in full.
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Name
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First Name
Last Name
Email
*
example@example.com
Phone Number
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-
Area Code
Phone Number
IMPORTANT NOTE: Some browsers may block the calendar on the next page.
A calendar link can also be emailed to you. If you need assistance email support@electro-acupuncturemedicine.com
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