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First Name
Last Name
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Email
example@example.com
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Phone Number
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4
Where did you find this form?
Kamaile's IG
Okole by Kamaile IG
Facebook
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5
What is the main thing you are struggling with right now?
Not sure where to begin/I need direction
Need clarity on my purpose/vision/goals
Unsupportive friends, family significant others
Money
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6
If you could change anything right now, what would you change?
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7
On a scale from 1-10, how much does this affect your life? (10 being the worst)
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8
On a scale from 1-10, how ready are you to change? (10 being so ready and want it now)
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9
How willing and able are you to invest in yourself & your growth?
I have the financial resources to invest in myself & grow from my current situation.
I have access to financial resources to invest in myself & grow from my current situation.
I don't have the financial resources to invest in myself right now.
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10
Why should I work with you?
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11
Would you prefer
Phone Call
Zoom Call
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12
What is your IG handle?
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