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Name
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First
Last
Email
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Your location
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Your age
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I need help with
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Dating
An existing relationship
Dealing with a breakup
Stress
Developing positive habits
Something else
What would you like to achieve?
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What are your 3 biggest challenges at the moment?
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Your occupation
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Your hobbies
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What investment are you prepared to make to solve your current problems
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I can easily invest over $1000
I can invest $1000, but it is a stretch
I can invest $500
I can invest less than $500
Not financially able to invest at the moment
I don't want to invest anything
How did you find Primary Self?
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Instagram
Facebook
TikTok
A Friend
Other
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