FREE Trader's Affirmation Request Form

SAMPLE PERSONALIZED TRADING AFFIRMATIONS

To ask Dr. Relax to create a free sample of personalized trading affirmations specific to you and your unique circumstances, simply complete this form and click "Send" at the bottom. In most cases your sample affirmations will be emailed to you within seven days .

What is your first name?

What is your last name?

What is your gender?

What is your age?

Do you consider yourself a Day Trader?

What is your average daily trading volume?

What are your process goals for trading this year? Give at least 4 Goals

Set Process goals like: "To pull the trigger more often."

Avoid Outcome goals like: "To make $1000+ a day."
1.
2.
3.
4.
5.

What must you do to achieve each of the goals stated above? (What actions must you take?) *Note that Step 1 is the action you must take to achieve Goal 1 and each step should be paired with each goal above. 1.
2.
3.
4.
5.

What is the single biggest challenge to you becoming more successful as a trader?

What feelings or emotions do you have when trading and everything is perfect?
(Try to name more than four if you can.) 1.
2.
3.
4.
5.

What specifically do you believe my CDs and consultation will help you to improve?

Name three traders or people you admire 1.
2.
3.

Daytime Phone

Evening Phone

Email address to receive your free sample affirmations

Confirm E-mail Address Below

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about Dr. Relax? Which Search Engine, or other method, did you use?

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What is your first name?
What is your last name?
What is your gender?
What is your age?
Do you consider yourself a Day Trader?
What is your average daily trading volume?
What are your process goals for trading this year? Give at least 4 Goals Set Process goals like: "To pull the trigger more often." Avoid Outcome goals like: "To make $1000+ a day."	1. 2. 3. 4. 5.
What must you do to achieve each of the goals stated above? (What actions must you take?) *Note that Step 1 is the action you must take to achieve Goal 1 and each step should be paired with each goal above.	1. 2. 3. 4. 5.
What is the single biggest challenge to you becoming more successful as a trader?
What feelings or emotions do you have when trading and everything is perfect? (Try to name more than four if you can.)	1. 2. 3. 4. 5.
What specifically do you believe my CDs and consultation will help you to improve?
Name three traders or people you admire	1. 2. 3.
Daytime Phone
Evening Phone
Email address to receive your free sample affirmations	Confirm E-mail Address Below