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Last Name
Email
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What are your personal or professional growth goals?
Which aspect of our programs are you most interested in (e.g., stress reduction, cognitive enhancement, emotional intelligence, addiction support)?
How much have you spent in the last 12 months on personal growth?
$0 - $12k
$12k - $30k
$30k - $75k
$75k - $150k
$150k+
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Are you ready to invest in your personal development at this time?
What are the biggest challenges you're facing right now that you hope our program can address?
On a scale of 1-10, how committed are you to improving your mental fitness and well-being?
1
2
3
4
5
6
7
8
9
10
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Is there anything else you'd like us to know before our call?
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