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Free Bonus - Quick Chat Application
Very excited you are here! This is the first step to a better life!
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Please complete this application for a free consultation. If selected, you will be notified within 24 hours.
Name
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Your answer
Age
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Your answer
Email
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Your answer
Phone number
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Your answer
Are you able to be available between 9-3 pm (GMT+2) for appointments?
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YES
NO
I can make it happen
What industry and position are you in?
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Your answer
Briefly describe your current symptoms or concerns.
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Your answer
What have you already tried to resolve these problems/ concerns?
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Your answer
How are these issues holding you back from your life, career and aspirations?
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Your answer
Why is now the right time for you to address these issues?
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Your answer
Do you think friends and family will be supportive of you making changes to solve this problem and achieve your goals?
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Yes
No
Maybe
Other:
On a scale of 1-10, how important is it for you to solve this problem?
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1
2
3
4
5
6
7
8
9
10
If I am selected and decide to work with you, I’ll find a way to invest in myself and my future:
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A. I have the necessary means to invest in my health and future
B. I have the ability to get the necessary means to invest in my health and future
C. I have no financial means to invest in my health and future
Thank you for filling out this application and congratulations on taking charge of your life and wanting to live better. You got this!
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