Survey

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The following is a general survey about self-sabotage. Sheri O. Zampelli is currently writing a book about credit card addiction. If you'd like to take the credit card addiction survey, Click Here.

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1)  One of the main ways I sabotage myself is...

2)  The reason I think I sabotage myself is...

3)  In the past, I have tried the following things to
     stop self-sabotage...

4)  One example of a time I self-sabotaged is...

5)  Area of your life you're most likely to sabotage:


Name:     (Optional)


Email:     (Optional)


Age:      


Sex:      Female Male


Marital Status:   


Indicate Highest Level of Education Attained:

           


                           

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Sheri Zampelli
Endless Possibilities
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sheri@sabotagetosuccess.com

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