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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Where did you first hear of Latisha?
A Recommendation
Instagram
Facebook
A Podcast Interview
Blog or Magazine Article
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4
How has working with Latisha helped you move forward in your life/business?
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5
Would you work attend another event or work with Latisha again in the future?
Yes
Depends on the type of event or service
No
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6
If I need to follow up with you, do you mind if I send you an email?
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7
Do you have a headshot or fun photo of you I can share with your testimonial?
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8
Do I have permission to share your photo + testimonial publicly?
Yes
Yes, but no photo
No
Please contact me first
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9
Do you have any feedback you would like to share with Latisha?
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