First Name
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Last Name
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Instagram Handle
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Phone
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Email
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What are the habits you want to change? (choose the best fit)
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I've followed the opinions of others for too long, and need to take control of my own life
I have no community behind me or support for change.
I work hard, but don't feel like I have any purpose behind it.
I am at a point in my life where I have looked up and realized I'm not happy or where I want to be.
Are you tired of feeling like you’re stuck and not making progress?
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Yes, I'm ready for change.
No, I like my soft life and constant anxiety.
How is your limiting mindset getting in your way of progress?
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What changes for you when we alter these habits and your mindset in the next 90 days?
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Are you ready to take Total Accountability for your future and start creating the life you really want?
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Yes, I'm ready to take action.
No, I am scared I don't have what it takes.
Are you finally ready to create discipline and make progress towards your goals?
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Yes, I need this.
No, I'll keep pretending I'm not the problem.
On a scale of 1 to 10 how ready are you to commit tocreate the life you want?
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