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Tell us what is going on that has you looking into this: (Please be as detailed as possible)
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What are you currently doing to try to solve this?
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If you could get one thing out of this program to make this an absolute win for you, what would that be?
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What is your biggest concern with joining our program? (other than cost)
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If we are confident we can help you get the results you want & we invite you to work with us directly, are you willing & able to invest into your health?
- Yes! I'm willing & able to invest in my health
- No! I'm not willing or able to invest in my health
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Once you submit your application, you will be given a short assignment to complete before we approve your application. Assuming time permits, will you complete the assignment? *
- Yes, I will complete the assignment
- No, I will not complete the assignment
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Once you submit your application, your next step is to complete your assignment