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Name
*
Email
*
Country Code
Select
+64
+61
Phone
I want to address the following issues (select all that apply)*:
Issues
*
My stress levels
My level of day-to-day happiness
My work/life balance
My energy levels
My sleep quality and/or quantity
My general health
My relationships
My physique
In a short sentence, describe how you’re currently feeling with your lifestyle habits? Eg tired, burnt out, etc
*
90 days from now, what would optimal performance look like for you?
*
The reason(s) I haven’t made progress in these areas*:
Reasons
*
I don’t know where to start
I’m too tired to put in enough effort
I’ve tried different strategies in the past which haven’t worked
I struggle to prioritise myself over business and/or other people
I just have too many other things to do
I have difficulty forming new habits
I’ve been thinking about making changes for *
Period
*
Weeks
Months
Years
Have you read the book or attended masterclass? *
Have you read the book or attended masterclass
*
Yes
No
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Masterclass
Ebook
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