What motivated you to join The Empowerment Blueprint program?
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What are your current life goals or aspirations?
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On a scale of 1-10, how would you rate your current level of satisfaction with your life? (1 being the least satisfied and 10 the most satisfied)
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1
2
3
4
5
6
7
8
9
10
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What areas in your life do you feel need improvement or change?
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Personal Growth
Career/Profession
Relationships
Health & Wellness
Financial Stability
Other
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What personal challenges or obstacles do you currently face that might hinder your progress in this program?
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What are your expectations from The Empowerment Blueprint program?
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Have you participated in any personal development programs in the past? If so, what was your experience?
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How do you prefer to learn?
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Reading
Listening (Audio)
Watching (Video)
Hands-On Activities
Group Discussions
Other
Do you have any specific questions, concerns, or excitement to share about the program?
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Any other information you would like to share?
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Email
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Opt-in Future Communications
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