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Built for Life Application
Please take your time and fill out the application as honestly as possible. The more detail you provide will strengthen your application and give will give me a better insight into how to help you.
9
Questions
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1
Name
First Name
Last Name
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2
Phone Number
Area Code
Phone Number
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3
Email
example@example.com
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4
“What’s the biggest thing in your lifestyle right now that you’re unhappy with?”
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5
If nothing changes in the next 12 months, what does your life look like?
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6
What have you already tried to fix this? Why didn’t it work?
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7
If you could wave a magic wand and solve this, what would your life look like?
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8
What’s stopping you from solving this on your own?
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9
If we speak and you’re accepted, are you ready to invest time, energy, and money into changing this?
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