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Your name
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First Name
Last Name
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Your email
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example@example.com
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3
Where are you?
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Your city & country.
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What 1 accomplishment this year would have the greatest impact on your life?
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Share any background information or context that maybe helpful for me to understand your situation?
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What's standing in your way?
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Fear, Time, Money, Health, Something else, I don't know ... ?
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Anything else that you wish to share
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