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Step
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How Would You Best Describe Your Relationship Situation Currently?
I'm Single Or I Feel Single
I'm In An Exclusive Relationship
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When It Comes To Your Dating Or Romantic Life Right Now, What’s Your Main Goal And What Do You Most Want To Have?
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How Do You Most Want To FEEL Emotionally Having That In Your Life?
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When It Comes To Your Dating Or Romantic Life Right Now, What Are The Biggest Blocks, Challenges, Issues Or Frustrations Getting In The Way Of Having What You Really Want?
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What Would You Say Is The #1 Most Painful Or Frustrating Thing To You About That Currently?
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What’s Your Current Age?
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(Enter Numbers Only)
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
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"
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How Important Is This To You, And How Committed Would You Say That You Are To Getting This Handled In Your Life Now 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
Have You Ever Worked With An Expert Love Coach To Help You With This In The Past?
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Yes!
No
Yes
Yes
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Are You Currently Able And Willing To Invest Into High-Level Coaching To Achieve All That You Want In This Area Of Your Life? (Special Discount Coaching Options May Also Be Available If "Yes" After A Free 15 Min. Session Starting At $197)
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YES!
No
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What Country Do You Currently Live In?
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What’s Your Current Profession Or What Do You Currently Do For Work?
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How Specifically Did You First Hear About Us Originally?
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What’s Your First Name?
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Would You Like To Next Also Discover A Powerful Psychological Trigger To Make Any Man Beg And Plead To Be With YOU?
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Yes
No thanks
Your Best Email:
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Website
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