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* 1. What is your name? (First/last)

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* 2. What is your email address?

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* 3. What is your phone number and/or Skype ID?

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* 4. Tell me a bit about yourself and your current health/weight situation:

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* 5. What is your current height and weight?

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* 6. What would you LIKE your weight to be? How far away are you?

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* 7. What's stopping you from getting there? Why haven't you been able to do this? Please go into detail and be SPECIFIC:

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* 8. Are you willing and able to invest in yourself to see results better than you ever have before?

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