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* 1. Where do you get our survey?

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* 2. What is your gender?

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* 3. What is your age?

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* 4. Which social media do you follow most for your personal growth?

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* 5. What is your profession?

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* 6. What are the 3 most important  to focus for better 2016?

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* 7. What is your top 3 struggles at the moment? (please select 3 of them below)

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* 8. Would you like to receive our newsletter to your inbox?

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* 9. Would you like to receive complimentary 30 minutes leadership coaching call?

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* 10. Contact Info

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