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Personal Survey

Are you satisfied with the way your life is going at this current point in time?
Yes! It's great.
It's okay, but it could be better.
Absolutely not!
What is the biggest problem you face in your life currently? (Select ALL that apply)
Love/Relationship Issues
Financial Issues
Weight/Health Issues
Lack of Motivation/Self-confidence
Anxiety/Depression/Stress/Mental Health Issues
Other
Other
Please Specify:
If there was a service/program that offered assistance in overcoming your current problem(s), would you be interested in trying it?
Yes
No
Maybe
I don't have any problems in my life currently
What if you were told that the service/program can be used/applied to help overcome ANY problem that you may face in your life, both currently and in the future?
Yes! Sign me up!
Not interested.
Maybe.
Would you be willing to pay a small fee for such a service if it would really work for you?
Yes.
No.
Depends how much.
How much would you be willing to spend on such a service? Please explain.
If the service/program worked for you, would you recommend it to your friends and family?
Yes.
No.
Maybe.
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