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    How old are you? (required)

    What do you currently do for a living? (required)

    What are some of your biggest strengths? (required)

    What are some of your weaknesses? (required)

    Are you a business owner? if yes, please elaborate on what your business is about.

    What are your financial goals in the next 12 months? (required)

    What do you think I could help you with? (required)

    If you have a job, what are your hours, what is your routine?
    (Note: Be as honest as possible if you really want to be helped).

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