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Post Event Survey - Thriving Changemaker

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Step 2

Full Name:

First Name

Last Name

Email Id:

Mobile No:

Address:

Address Line1

Address Line2

Land Mark

City

State

Country

Zip Code

When it comes to DESIRED OUTCOME [finding a quality man, getting clients, losing weight] what is the single biggest challenge, frustration or problem you struggle with(Please be as detailed and specific as possible) :

Which of the following best describes [RELEVANT demographic Question #1]:

Descriptive information 1
Descriptive information 2

If I was to create a paid program on one of the following topics (and you had to choose just one) which of the following are you most interested in, and would have signed up for if already available:

How to subset of desired outcome, or problem solution
Others

Please specify:

Comments/Additional Information:

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