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Clarity form
Please fill this form before our scheduled appointment so that it makes it easier for both of us. You can write in bullet points. Take time to think and be honest in your answers so that you benefit the most out of our session
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Your Name
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Your answer
Age
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Your answer
Gender
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Female
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Location
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Your answer
Email address
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Your answer
Contact Number (Whatsapp preferable)
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Your answer
List down the top three goals you would like to achieve in the following year
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Is there anything preventing you from getting what it is you want?
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Your answer
How does this impact you?
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On a scale of 1 - 10 how ready are you to create the life of your dreams?
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1
2
3
4
5
6
7
8
9
10
How do you see me (Shabeena A M) helping you on this journey?
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Your answer
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