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Step
1
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When It Comes To Your Romantic Life Currently, What Are Your Main Goals & What Do You Really Want To Have?
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A Long-Term, Happy Relationship
To Get Married
To Have A Loving Family Of My Own
To Attract More High-Quality Men
To Have Fun & A Deep Connection
Next! ➨
How Do You Most Want To FEEL Emotionally Having That In Your Life?
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Happy & Loved
Safe & Fulfilled
Secure & Confident
Excited & Cherished
Respected & Appreciated
Next! ➨
When It Comes To Your Romantic Life Currently, What Are The Biggest Blocks, Challenges, Issues Or Frustrations Getting In The Way?
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Emotionally Unavailable Men Pulling Away
The Fear Of Rejection Or Repeating Past Hurts
Trust Issues
Not Attracting Enough Quality Men
Anxiety Or An Anxious Attachment Style
Next! ➨
What Would You Say Is The #1 Most Painful Or Frustrating Thing About Where You're At Now?
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Being Alone & Not Having Someone To Share My Life With
Not Feeling Good Enough
Men Losing Interest Or Not Committing Fully
Missing Out On Having A Loving Relationship
A Lack Of Confidence Or Lack Of Connection
Next! ➨
What’s Your Current Age?
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(Enter Numbers Only)
Approximately How Long Have You Been Single For Now? (If Applicable)
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6 Months Or Less
1 Years
5 Years
10 Years
15 Years
20+ Years
Currently In A "Relationship"
Approximately How Many Years Have You Been Single For Now? (If Applicable)
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(Enter Numbers Only)
What’s Your Current Age?
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67+
50-66
40-50
30-40
25-30
24 Or Younger
Next! ➨
How Important Is This To You & How COMMITTED Are You To Achieving What You Want To Have With This On A Scale Of 1-10?
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Select Your Choice...
10!
9
8
7
6
5
4
3
2
1
Which Of The Following Best Describes You?
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I Have Worked With A 1:1 Coach To Help Me In This Area Of My Life Before
I Have Not Worked With A 1:1 Coach To Help Me In This Area Of My Life Before
Next! ➨
Have You Ever Worked 1:1 With A Coach To Help You With This Before?
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Yes
No
Next! ➨
Are You Currently Able & Willing To Invest Into Expert 1:1 Coaching To Finally Achieve All That You Want To Have With This Area Of Your Life Once-And-For-All?
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Yes!
No
(Special Discount 1:1 Coaching Options With Antia May Also Be Available If "Yes!" After A Free 15 Min. Call Starting At $297)
Next! ➨
What Country Do You Currently Live In?
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Next! ➨
What’s Your Current Profession, Or What Do You Currently Do For Work?
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Next! ➨
How Specifically Did You First Hear About Us Originally?
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Next! ➨
What’s Your First Name?
*
Next! ➨
Would You Like To Next Also Discover A Powerful Psychological Trigger To Make Any Man Beg And Plead To Be With YOU?
*
Yes!
No thanks
Your Best Email:
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Name
Submit! ➨
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