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Answer Intakeform Answer Intakeform

Dear client,

thank you for your decision to follow a training by the Dating Doctors. Please answer the questions below before you participate? Your answers are used to personalise the training schedule.

Be honest in your answers. Only then you are guaranteed of a high quality training. We take your answers into discretion.

(estimated time: 10 minutes)

Full Name:
E-mail Address:
Phone Number:

1. The dream: what do you want to achieve?

What do you want to achieve? You can put down anything you want, without limitation. On every aspect of life with women. Social, physical, relational or mental area. Write down below what you want to attain. What are your dreams and wishes? How do you expect it will feel? Also write down: how is it making you feel right now?

2. How do I restrain myself and how can I stop that?

A. What behavior limits me?

What are you doing, that prevents you from achieving what you want with women? Write down below what pops into your mind.

B. What do you say to yourself to explain my behavior?

What negative convictions do you have about yourself? These are the voices in your head, that consciously or unconsciously make you do nothing or make you think you can do nothing. Write them down below and mark those convictions that have the most negative influence on you.

C. What is my new conviction?

Look again at question B above, where you wrote down the conviction that most holds you back. Now write down a new conviction for yourself. Make sure that this new conviction totally destroys the old one. The new conviction has to be positive, personal, present tense, powerful, short and simple.

Optional Remarks:

Thank you very much for filling out our intakeform. Press the button to send your answers to us.

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