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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:
*
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
Why have you not hit the target monthly revenue goal yet?
*
What business are you in? What do you do and what do you sell? Who do you serve?
*
How long have you been using the internet to grow your business?
*
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 for my breakthrough session when my coach calls."
*
On a scale of 1-10, how interested are you in becoming a client if you find the information helpful?
1
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3
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10
Hey, give me your thoughts below: