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1 What are the main challenges in dating your facing right now ?
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2 How commited are you to taking action on this issue in your life right now on a scale of 1-10 ?
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0
1
2
3
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5
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7
8
9
10
3 Are you willing and able to invest in yourself right now ?
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4 What's your yearly income (USD)
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$0-15k
$15-30k
$30-80k
$80-150k
$150-200k
$200k+
5 What's Your Full Name ?
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6 Best phone number to reach you ?
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7 What's your Best Email for your free Ebook ?
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