Accountability Partner Form

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Age

30 - 35

36 - 40

41 - 46

47 - 51

52 - 57

58 - 62

62 and above

Gender

Male

Female

Current Profession or occupation:

Corporate executive

Management

Sales

Clerical

Medical

Legal

Government

Teacher / professor

Counselor

Entrepreneur / self employed

Retired

College Student

Unemployed

Other

Preferred Communication Style: (Select one)

Text messages

Calls

Video calls

Email

All of the above

Preferred Frequency of Communication:

Daily

Weekly

Bi-weekly

Frequently

Doesn't matter

Get started today before this once in a lifetime opportunity expires.