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Breakthrough Form

Business Questionnaire
Name
First Last
Best email to use:
Best calling preference
- Video Skype (Preferred)
- Audio Skype
- Phone Call
Phone number and Skype ID (If Skype selected above)
Enter business website if you have one:*
Where did you learn about us/Jon Rognerud?
- Media & Marketing Podcast (iTunes, Google, Spotify)
- Facebook Live Videos
- Webinar Presentation
- Referral
- Website / SEO
- YouTube
- Email Marketing List
Business growth status?*
Your Current MONTHLY Business Revenue*
- Less than $1,000 per month
- $1000 - $5,000
- $5,000 - $10,000
- $10,000 - $20,000
- $20,000 - $50,000
- $50,000+ per month
- I don't have a business or making any money
What Is Your Target MONTHLY Business Revenue?*
- $0 - $5,000
- $5,000 - $20,000
- $20,000 - $50,000
- $50,000+ per month or more
Have you worked with a marketing agency before?
- Yes
- No
The most important thing for you to learn with FB/Digital?*
Why have you not hit the target monthly revenue goal yet? (your OBSTACLE)*
What business are you in? What you do and what do you sell, and what price point? And, who do you serve?*
How long have you been using online tactics to grow your business? And, what marketing activities are you doing currently?*
How much MONTHLY $$$ spend on ads right now?*
If someone advised me to spend $1,000 on ads, I would...
- Know it's what any serious entrepreneur needs to grow a real business.
- Would be a little intimidated, yet with a proven system I would do it because I'm serious about my business.
- Avoid it at all costs because I want to do things as cheaply as possible.
Right now I...
- Have the financial resources to invest in growing my business
- Have access to the financial resources to invest in growing my business.
- I don't have any financial resources at all & I'm going to keep my business exactly where its at.
We will call you at the time you choose. Please commit to your appointment by typing this sentence below: "Yes, I promise I will answer the phone when my business coach calls."*
On a scale of 1-10, how interested are you in becoming a client if you find the information helpful?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10

Thanks

Breakthrough Form

Business Questionnaire

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