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  2. 2016
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  5. Your Way Today
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Exit Survey
 
 
Hello:
You are invited to participate in our survey. In this survey, approximately 50 people will be asked to complete a survey that asks questions about their daily routine and habits of Productivity. It will take approximately 3 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
Contact Information
* First Name : 
* Last Name : 
Phone : 
* Email Address : 
 
 
 
* What type of business or profession are you currently working? (Select all that apply)?
 
High Level Leadership
 
Middle Management
 
Regular Day Gig
 
Direct Sales
 
Non-Profits/Mentorship
 
Online Marketing
 
Other
 

 
 
 
* What are the strongholds that may have you stuck where you are today (Select all that apply)?
 
Time Management
 
Planning
 
Goal Setting
 
Confidence/Self-Esteem
 
Money
 
Other
 

 
 
 
* Your core values are the glue that hold the foundation of your business together. The Worthy of Wealth core values are: Innovation, Faith, Service, Accountability, Respect, Leadership, & Empathy. Which ONE of these resonate with you the most? Or tell me ONE of your core values that's closest to your heart?
   
 
 
 
* Who are you connected or passionate about serving? (Your target audience)
   
 
 
 
* The person whom you speak of in the above question, what would you like to see them do as a result of working with you? (In one sentence) For example: I want Leaders to build and multiply other leaders
   
 
 
 
* Explain in detail your deepest why. What keeps you going towards your goal?
   
 
 
 
* If I could show you in just 90 days how to: increase your leads/followers; make more meaningful connections; ultimately grow your income, what types of products and services would you be interested in receiving to get you to the top?

 (Select all that apply)?
 
Books/E-books/Workbooks
 
Online Self Paced Courses
 
Live Workshops/Conferences
 
Webinars Audio/Video
 
One on One Group Coaching 
 
Other
 

 
 
 
* How much are you willing to invest in the success of you and your business
 
less than $100
 
$100-$500
 
$1000-$2500
 
$2500+