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Unlock more time, freedom, and wealth
First name
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Last name
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Email
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Company name
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Rate your overall life satisfaction in the following areas
Your ability to be laser-focused without being distracted.
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Sense of personal fulfillment
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Sense of professional fulfillment
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Your meaningful connections with others (Friends, Family, Partner, etc.)
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Your self-talk (Positive vs Negative)
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Your leadership and management skills
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Your business and targets
How long have you been in business? What do you provide to your customers?
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What are your 3 greatest personal accomplishments over the past three years?
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What are your 3 greatest business accomplishments over the past three years?
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What sounds most appealing to you right now?
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Current annual revenue
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Personal Vision: Where do you want to be in 12 months?
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Business Vision: Where do you want to be in 12 months?
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Other personal goals you'd like to share?
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If you were told you only had 6 months to live, what would you do?
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Challenges, Strenghts, & Weaknesses
What are the 3 main challenges that keep you from being the best version of yourself?
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What are the 3 main strengths you bring to others personally and/or professionally?
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What is your greatest weakness?
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Rate your personal success according to the following statements
I have clear goals that motivate and challenge me
I have a clear plan on how to use my time and resources effectively
I have a clear plan on how to use my time and resources effectively
I am productive and focused without being distracted
I am truthful and transparent with myself, in my relationships, and in my work
I am comfortable taking risks knowing that they are worth the reward
I take pride in caring for myself and caring for others
I am humble and appreciate different perspectives and honest feedback
I am decisive and make decisions quickly without second guessing myself
Your commitment to change
I am ready and willing to invest _______________ each week towards changing my habits and achieving my goals
The time I plan to commit to The Freedom DNA process before I see lasting change
(Required)
Reasons I believe I am a good candidate for The Freedom DNA program
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I am willing to invest $_________ monthly to achieve the time, freedom, and wealth I deserve
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What else would you like us to know about you and/or your business?
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