Welcome to the Supercharged Program Application
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1
Today's Date
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2
Full name
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3
Email address
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4
Best phone number to reach you at?
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5
How did you hear about us?
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7
Which Country do you live in?
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8
Which state do you live in if in the US?
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9
What are your three biggest struggles right now?
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10
What are you looking forward to with this call?
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11
Have you ever hired someone to help you out before?
- A Yes
- B No
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12
Are you ready to make an investment in your health to finally get profound results?
- A Yes, I have the financial resources to get started.
- B Yes, I have access to the financial resources to get started.
- C No, I don't have access to the financial resources to get started.
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13
If yes, then what do you think was missing that didn't generate results? Please explain...
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15
Are you okay if I reach out to you via text message (text message rate will apply based on your carrier plan)
- A Yes
- B No
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16
What program are you interested in?
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