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Full Name
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Email Address
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Current Address (incl. postal code or ZIP)
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Phone Number
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Date of submission
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Were you Invited by a Radically Aligned Life Leader?
Yes
No
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If so, what is their name?
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3. Rate yourself in terms of willingness and ability to give support to others in the Mastermind on a scale of 1-10.
1
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10
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12. If you could choose the types of people to support you in your life, what would their skills, experiences and resources be?
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18. What is your current annual income?
Under $50,000
$50,000 - $80,000
$80,000-$100,000
$200,000
$500,000
1 Million or more
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