What's your name?
Where are you from?
Your e-mail address?
Your mailing address?
What's your contact number?
Best time of day for us to contact you?
What's your age?
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Do you have large credit card debt? How much?
What would extra $500 per month mean to you?
What would you buy with the extra money?
How much time could you devote to a business?
What about you would make you a good candidate for owing and running a business?
How would you feel to have more free time?
What would you do with it?
Do you have children? How many?
What kind of work do you do right now?
What you like most about your current occupation?
Your Current Income
Your Time Freedom
The People You Work
With/For
Helping Others
Your Hours
other:
What you like least about your current occupation?
Your Current Income
Your Time Freedom
The People You Work
With/For
Helping Others
Your Hours
other:
Hoe long have you been working?
Do you plan on staying in your present occupation until you retire?
Yes.
No.
Do you currently own, or have you ever owned, your own business?
Yes.
No.
If yes, what kind of business was it?
Did/Do your business allow you freedom?
Yes.
No.
Were/are your business profitable?
Yes.
No.
If not, have you ever dream of owning your own business?
Yes.
No.
How would working at home benefit you?
How would you feel to be able to fire your boss?
Do you believe you can earn five figure a month?
Yes.
No.
Do you consider yourself open-minded and self-motivated?
Yes.
No.
If this turned out to be the program you've been looking for, would there be
anything to stop you from getting started right away?
Additional Comments
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