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Welcome to The Radiant Womban Application
Please answer these questions with deep intention.
13
Questions
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1
Name
First Name
Last Name
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2
Are you a woman?
YES
NO
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3
How old are you?
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4
Do you you suffer from symptoms of a hormonal imbalance?
YES
NO
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5
If yes, what symptoms? If no, are there any other areas of your health you wish to improve?
No wrong answers.
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6
What 3 areas of your life would you like to level up in?
No wrong answers.
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7
Do you consider yourself open minded to new ideas & practices?
YES
NO
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8
Where do you wish to see yourself, 5 years from today?
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9
If you had one extra hour in your morning, how would you spend it?
Be honest with yourself.
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10
What are 3 roadblocks that are making it harder to achieve your goals?
No wrong answers.
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11
Do you believe that the best investment you could make is in your health & quality of life?
YES
NO
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12
Email
example@example.com
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13
Phone Number
OPTIONAL
Area Code
Phone Number
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