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10
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1
Name
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What is your name?
First Name
Last Name
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2
Email
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What is your email address?
example@example.com
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3
Location
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What is your current location (country, state/province)?
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4
What is your BOLD mission in this life?
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^ Why do you desire to Take Up Space in your life right now?
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5
What actions have you taken so far to step into the life of your dreams?
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6
What is your biggest challenge right now?
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7
How do you feel when you think about taking up space and becoming more visible as you move toward your dreams??
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8
How comfortable are you with taking risks?
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9
Have you already started a business, community, or movement to support your mission?
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No, and I don't plan to.
I haven't yet, but know I am meant to do so!
Yes, within the last year
Yes, 1 - 4 years ago
Yes, 6 years or more
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10
Is there anything else you would like me to know?
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