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EmpoweredX Pre-questionnaire 

Thank you for your interest in EmpoweredX Transformation Program! We're excited to help you achieve your goals and create positive changes in your life. Please take a few minutes to fill out this questionnaire so our coaches can better understand your needs and how to best support you on your journey.

What area of your life do you feel needs the most attenton?
Have you worked with a coach or therapist before?
What areas in your life do you feel you could benefit from coaching?

Thanks for submitting!

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