Breakthrough Mastery Application

Breakthrough Mastery Application
Doctor: Please answer these few questions to apply for Breakthrough Mastery Advanced Personal Growth program. We will schedule a call with you after reviewing if we feel we are a fit to help you reach and exceed your goals.
Name*

First NameLast Name
Cell Phone*
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Best Email*
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What Are You MOST Looking to Get From Going Through Breakthrough Mastery Advanced Personal Growth Course?*
Why are you more serious about reaching your goals now than before?*
Why do you think you're stuck or not reaching your goals/vision on your own [honestly]?*
What do you feel is the biggest challenge Dr. Wagner can help you with?*
THANK YOU. WE WILL REVIEW YOUR APPLICATION AND RESPOND TO YOU SHORTLY.
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Doctor: Please answer these few questions to apply for Breakthrough Mastery Advanced Personal Growth program. We will schedule a call with you after reviewing if we feel we are a fit to help you reach and exceed your goals.