Tell Me About Yourself....

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Full Name* This field is required.

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Email* This field is required.

3

Cell Phone # of if International put WhatsApp* This field is required.

4

If international - please put Skype

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# years in business* This field is required.

First year

1-3 years

more than 3 years

more than 10 years

I have a job but want to start my freedom strategy

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Master Website Link* This field is required.

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Currently - where does 80% of your income come from? (Coaching, consulting, 1:1, courses, job etc.)

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For Social Media Links - provide clickable links so I can quickly access them. If you don't have just say None.

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Facebook Link* This field is required.

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Instagram Link

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Linkedin Link* This field is required.

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Youtube Link

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What is your #1 goal right now?* This field is required.

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Are you actively seeking help for your business?

Yes I am looking for my next coach/mentor/solution or program

No I am all coached and programmed up

Don't know yet

I'm a possible strategic/referral partner for you

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How fast do you want the results and make the change?

YESTERDAY

This month

1-3 months

Someday - I love to put off success

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What is your annual marketing budget* This field is required.

$5000-$10,000

$10,000 - $25,000

$25,000 - $100,000

No budget - recommend an entry level product

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Did someone refer you? Put name.

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Tell me anything else you want me to know

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Calculate so we know you are human :)

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