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I'm not sure that I need full address.  Required would be name, phone number, email

Questions to ask...
- Do you wake up in the morning ready to get going with the day? 
- Are there times that you have low energy during the day? 
- Do you move (exercise) every day?  
Do you feel that stress is impacting your life/health? 

I can add more but am keeping it minimum.   emails should go to
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