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* 1. Do you feel you have any habits that are unhealthy?

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* 2. How confident do you feel in your ability to overcome unhealthy habits?

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* 3. How interested are you in overcoming your unhealthy habits?

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* 4. Do you feel that your unhealthy habits might be holding your work/business back?

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* 5. Please tell us the one unhealthy habit you would change, if you had to choose just one.

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