6-Week Challenge Survey
What is your name?
Your answer
What is your email address?
Your answer
What is your phone number?
Your answer
What are your Facebook, Instagram, YouTube, LinkedIn and any other social media handles?
Your answer
What do you consider your strengths?
Your answer
What do you currently do for work?
Your answer
What is your current yearly income?
Your answer
What parts of your life do you want to improve?
Your answer
What goals would you like to accomplish in the 6-week Success program?
Your answer
Why do you think you should be 1 of the 10 people who are accepted into the Success Program? In other words, what makes you stand out from the rest?
Your answer
Please add any additional information you would like us to know about you
Your answer
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