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Area Code
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How did you find me?
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How did you find me - Other
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What is is your business and what would you like to promote? Please include your website(s).
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What are your top 3 reasons for wanting to get visibility?
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Have you ever engaged in PR activity before, such as hiring a PR agency, or running your own campaign? How did it go?
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If you could appear in any media outlets, which would be your top 5 dream results?
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i.e. O Magazine, Forbes, Entrepreneur Magazine, Today Show, Good Morning America, NPR, etc.
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What is your vision for your legacy? What is the impact and mark you hope to leave on the world?
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What are your top 3 reasons for wanting to work with Heather Burgett?
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How willing are you to make the necessary changes to bring your goals to life?
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Totally ready and willing to make things happen.
I am not sure yet but I am open.
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Which one best describes your situation now?
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I'm looking for a coach or mentor and I've invested before to get results.
I know something needs to change and I am willing to explore options.
I don't have a budget for coaching right now but would like as many of your free materials as possible.
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Please verify that you are human
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