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Please complete and submit this form to receive 50% OFF when you buy the Manifest Him prayer book today.
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1
What is your current relationship status?
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Single
In a Relationship
Engaged
Married
Divorced
Widowed
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2
Are you currently dating?
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YES
NO
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3
What is your age group?
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18-29
30-39
40-49
50 or older
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4
What is your faith identity?
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Agnostic
Atheist
Buddhist
Christian
Israelite
Jewish
Kemetic
Mormon
Muslim
No Religious Affiliation
Other
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5
Are you currently practicing celibacy?
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YES
NO
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6
Which of the following best describes your current relationship with God?
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Strong
Okay
In Need of Improvement
Non-existent
Other
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7
What is the BIGGEST challenge you currently have with your relationship with God?
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8
Are you interested in developing a habit of praying for your future husband weekly or daily?
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YES
NO
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9
What is the BIGGEST challenge you currently have with men, dating, and/or relationships?
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10
What question(s) do you have for or about men that you want the answer to?
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11
Are you interested in coaching in one of the following areas?
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Please select all that apply.
Dating
Relationships
Communicating with Men
Spiritual Development
Starting or Growing an Online Business
Becoming a YouTuber or Podcaster
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12
What is your name?
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First Name
Last Name
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13
What is the best email address to send the prayer book to you?
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example@example.com
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14
Are you ready to submit your form and buy Manifest Him for 50% OFF today?
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When you click 'SUBMIT' you will be taken directly to the checkout page.
YES
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