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You are on the Feel Great About Yourself "Mimi's E-book Survey" page

My upcoming E-book
"You, Yes YOU, Can Feel Great About Yourself"

The time has come for me to come out of hiding. I have decided to put myself out there in hopes of inspiring more people than I have so far.

Introducing my very first "real" E-book "You, Yes YOU, Can Feel Great About Yourself".

Cover You Yes You

In order to make this book relevant to most of my visitors I need your opinion and would love to know how I can be of better service to you.

Thank you for taking part in this survey. As a token of my appreciation you'll be entitled to a free download of the book at it's completion.

Mimi’s E-book Survey

Please note that all fields followed by an asterisk must be filled in.

First Name*
First Name*

E-mail Address*
E-mail Address*

Web Site URL

Country*
Country*

What do you think of when you hear Feel Great About Yourself?*
What do you think of when you hear Feel Great About Yourself?*

	Being full of confidence
	Having healthy self esteem
	Being full of energy and zest for life
	Feeling "On top of the world"
	Other

If Other, please specify

What do you think your life would look like if you would feel great about yourself?*
What do you think your life would look like if you would feel great about yourself?*

What would you like to learn more about?*
What would you like to learn more about?*

	Self esteem
	Self confidence
	Body image
	Self talk
	Tools to eliminate negative beliefs
	Other

If Other, please specify

Which media type do you prefer?*
Which media type do you prefer?*

	E-book
	Audio (MP3)
	CD
	Video
	Other

If Other, please specify

Please enter the word that you see below.

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All you need to do is fill in your e-mailaddress and name!

You are on the Feel Great About Yourself "Mimi's E-book Survey" page

My upcoming E-book "You, Yes YOU, Can Feel Great About Yourself"

You are on the Feel Great About Yourself "Mimi's E-book Survey" page

My upcoming E-book
"You, Yes YOU, Can Feel Great About Yourself"