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Ready to Rise? Let's Connect

Ready to Rise? Let's Connect

Before we hop on a call (or I send you a custom message), I’d love to learn more about you, your goals, and what’s bringing you to this moment. There are no wrong answers — just honest ones.                                                                                                                               Presented by The Alpha Mom Evo, powered by Secoras Cossa LLC
28Questions
  • 1
    What name do you go by other than mom?
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  • 2
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  • 3
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  • 4
    (Optional – so I can follow or connect with you there)
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  • 5
    (Optional – so I can follow or connect with you there)
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  • 6
    What happened, shifted, or reached a breaking point that made you take action today instead of “someday”?
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  • 7
    This isn’t about fear — it’s about awareness. Imagine your life, health, body, energy, or mindset staying exactly the same for the next year. What concerns you about that? What feels unacceptable?
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  • 8
    1 = not ready at all 10 = fully committed, no more waiting
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  • 9
    1 = not ready at all 10 = fully committed, no more waiting
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  • 10
    What makes you feel that ready — or what’s holding you back from choosing a higher number?
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  • 11
    These can be physical, mental, emotional, or lifestyle-based. Example: strength, confidence, consistency, fat loss, mindset, structure, or self-trust.
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  • 12
    Be specific. How would you feel, move, or show up differently in your life?
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  • 13
    This isn’t about blame — it’s about patterns. Think habits, beliefs, time, support, energy, or consistency.
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  • 14
    This helps me understand what you’ve already experienced and what you don’t want to repeat.
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  • 15
    Select all that apply. There’s no “wrong” answer here.
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  • 16

    Age       

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  • 17

    Height (ft)       

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  • 18

    Weight       

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  • 19

    Goal Weight       

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  • 20
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  • 21
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  • 22
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  • 23
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  • 24
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  • 25
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  • 26
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  • 27
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  • 28
    Anything Goes!
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  • 29
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