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* 1. What is your first and last name?

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* 2. What is your email and phone number?

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* 3. What are your 3 month, 6 month, and 1 year goals?

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* 4. Why are these goals important to you?

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* 5. Have you ever tried to achieve this goal in the past?

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* 6. What have you tried?

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* 7. What are you doing now to achieve this goal?

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* 8. What frustrations have you experienced in the past in trying to reach this goal?

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* 9. How will your life be different when you achieve this goal?

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* 10. What is your biggest obstacle from achieving this goal?

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* 11. How quickly are you trying to resolve this issue?

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* 12. Right now, if I found the perfect program to invest in me and my goals, I am ready. 

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* 13. Right now, I have the financial resources or have access to the financial resources to invest in my overall health and wellness journey. 

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* 14. If the application is approved, would you be willing to jump on a quick call to further discuss your goals at a later scheduled time? ** If YES, be prepared to have a decision on the call.**

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* 15. Please, put down two dates and times that I may reach out to you for a 15-20 minutes conversation. (Please, expect a call from me, Missy, 508-561-5202.)

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