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Full Name:
   
 
 
 
What business are you in?
   
 
 
What is the #1 obstacle I can help you solve in building a home business?
   
 
 
What is the monthly amount of income you'd like to make in the next 90 days?
   
 
 
How much time do you have to commit to your online business?
 
2 - 4 hours per week
 
5 - 10 hours per week
 
Full Time
 
As much as needed
 
 
Do you have $25 right now to start your business?
   
 
 
How much are you able to invest immediately to begin seeing success in your business?
 
$125 - $625
 
$625 - $1625
 
$1625 - $3,000
 
$3,000 - $5,000
 
$5,000+
 
Not right now but later on.
 
 
 
On a scale from 1-10 How COACHABLE are you? Meaning, how likely are you to follow our advice to the ''T' to see results?
 
I'd rather do things my own way
 
I'll probably do things my own way
 
I'll most likely do things my own way
 
I might possibly do things my own way
 
I may or may not do things my own way
 
I'll probably listen to your advice
 
I'll most likely do things your way
 
I'm more than likely to take your advice
 
I will do things your way because I want similar results
 
I'll do things your way with NO EXCUSES
 
 
Are you truly serious about your business or are you just playing around?
 
I'm completely serious, Carell. I want to succeed in my business.
 
No, I'm not serious.
 
 
 
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