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Name
Last name
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Age
Phone
Email
Address
City/Municipality
State
Family relationship—Please choose an option—SingleMarriedDivorcedWidower
Wife/Girlfriend Name
How many children do you have?
What do you do for a living?
What's your t-shirt size?—Please choose an option—SmallMediumLargeExtra-Large
How is your relationship with God? —Please choose an option—12345678910
Why did you choose that number?
What is your energy level? —Please choose an option—12345678910
How is your relationship with your girlfriend/wife? —Please choose an option—12345678910
What number do you think your girlfriend/wife would rate your relationship with her? —Please choose an option—12345678910
What limits you from giving 100% in everything you propose?
¿En cuál de estas 3 categorías crees que estés fallando más?—Please choose an option—FaithFamilyPhysical
When was the last time you gave 100% of yourself to something and how did it feel?
Are you the father, son, husband you always wanted to be?
Are you an intentional parent who helps, teaches, gives advice, or leaves that task to your wife/girlfriend?
How often do you pray and for how long?
How often do you exercise?
What keeps you up at night?
Is there anyone who knows who you really are?
When was the last time you broke a promise to someone?
What is your main goal for this year?
Mention some qualities of yours
Would you be willing to go through pain and leave your comfort zone to achieve a better version of yourself?
Today is the day you decide that your life can change forever, and for the better.
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