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1. What is your primary reason for considering our brain optimization program? *

Enhance work performance

Improve emotional regulation

Increase creativity and problem-solving abilities

Address past trauma or unresolved emotional issues

2. On a scale of 1-10, how significantly do you feel your current brain performance impacts your overall quality of life? *

3. Which of the following challenges do you experience regularly? (Select all that apply) *

Difficulty focusing or concentrating

Trouble keeping up with work demands

Emotional reactivity or mood swings

Mental fatigue or brain fog

Rumination on past events or future anxieties

Sleep issues

Other (please specify)

4. Have you tried any of the following methods to address these challenges? (Select all that apply) *

5. Have you experienced any significant life events or traumas that you feel are still affecting you today? *

Yes

No

Prefer not to say

7. Have you invested in personal development or executive training programs before? *

Yes, up to $10,000

Yes, $10,000 - $50,000

Yes, over $50,000

This might be my first investment in this area

8. Is there anyone else who would need to be involved in making the decision to participate in this program? If so, please provide their name and relationship to you, and let us know if you would like to schedule a call with them present. *

9. What's the best way for us to contact you to discuss your application further? *

Phone

Video call

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Start Your Transformation

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