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First & last name
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First
Last
Email
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Phone number
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Website
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Please put "http://www." before your domain. Example: http://www.YourWebsite.com
Your past year's sales
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Under $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
Over $1,000,000
Your sales goal for the next 12 months
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Under $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
Over $1,000,000
What do you think is preventing you from reaching your goal?
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How much have you invested in coaching, marketing, or other services to grow your business in the last 12 months?
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Under $1,000
$1,000 - $5,000
$5,000 - $10,000
Over $10,000
How soon are you ready to get started?
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Right now
Within 30 days
Within 90 days
I am just exploring options
What would reaching your sales goal mean for you and your business?
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Is there anything else you'd like me to know that might help me get up to speed?
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