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TMV Questionnaire

Sometimes, bad things happen to good people. 🥺😞

Please answer the following questions...

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Question 1 of 7

Question 1 of 7

When it comes to doing everything right but still not achieving the outcome you hoped for, what is the biggest challenge you struggle with?    (Please be as detailed and specific as possible.)

Question 2 of 7

Question 2 of 7

What is your biggest reason for wanting the certain outcome?

Question 3 of 7

Question 3 of 7

Who are you?

A

I'm a man

B

I'm a woman

C

I'd prefer not to answer

Question 4 of 7

Question 4 of 7

Which of the following best describes your age?

A

I'm in my 20's

B

I'm in my 30's

C

I'm in my 40's

D

I'm in my 50's

E

I'm in my 60's

F

I'm in my 70's or older

Question 5 of 7

Question 5 of 7

What perspective is most concerning when considering questions 1 and 2?

(Select all that apply)
A

Business/work

B

Social

C

Family

D

Financial

E

Personal

F

Other

Question 6 of 7

Question 6 of 7

What is your best contact information in case we have follow-up questions?

 

Your name...

 

Email address....

Question 7 of 7

Optional Question 7 of 7

Phone Number...OPTIONAL: I might like to follow up with you personally (by phone) to understand a bit more about your situation. If you'd be willing to chat for a few minutes about your experience, please leave your contact information below. I assure you that I will never share your information and it will only be used if I (or a member of my team) call you to discuss your experience. Thanks so much!!

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