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Name *
Your Email address. *
Whatsapp Contact *
Date of Birth *
City *
How often do you procrastinate? *
How often you feel Stress & Anxiety? *
Do you suffer from Self-Doubts/Fear or Resistance to do something you want? *
Do you delay things or procrastinate things because of mood swings like anger, irritation, frustration or overthinking ?
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How does procrastination or delaying impact your Mood? *
Rate the Regret you feel after Procrastinating- (Rating should be High Regret-Ten, No Regret-Zero) *
What kind of Procrastinator are you? *
According to you procrastination is - *
Do you feel guilty after procrastinating? *
Do you think other people demoralise you or don't support you? *
When you don't get love, support, validation and attention from others, do you have suffer emotional breakdown? *
Do you have a bad past which you are still struggling to move on, that's impacting your present? *
Do you think to get rid of procrastination, stress & be more productive? *
Is this 21-day Mind Cleanse Program effective and you feel worth the cost compared to free enrollment? *
As our journey has come to an end, Are you interested in Continuing your journey by being the part of inner circle of The Twinkle Club with Coach Twinkle. *
If you see change in yourself thought process, Would you like to refer your dear ones for next batch of Mind Cleanse Programme, If yes, please provide the names of at least two people, or as many as you wish, whom you truly wish to be the part and heal positively. *
Any perspective or anything you want to share about 21 days MCP programme Experience which you liked or you want some improvements in our programme. Would love to get your feedback. *
Do you want to share anything personal with Coach Twinkle in order to get a personal response? Feel free to share.
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