Qualify For One-On-One Mentoring - Business Needs Survey

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1. Please fill out these details so I can contact you.

Please fill out these details so I can contact you.   Name:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

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2. What is the biggest frustration / challenge you currently face in your business?

What is the biggest frustration / challenge you currently face in your business?   Generating Leads For My Business Converting Leads to Sales Lack of Training Learning Internet Marketing Strategies Not having a coach or a mentor to teach me

Other (please specify)

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3. Do you currently have a home business?

Do you currently have a home business?   Yes No

Other (please specify)

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4. If you don't currently operate a home business, are you looking for one?

If you don't currently operate a home business, are you looking for one?   Yes No

Other (please specify)

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5. How long have you been looking for the right kind of opportunity?

How long have you been looking for the right kind of opportunity?

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6. What has been stopping you from starting your own online buisness?

What has been stopping you from starting your own online buisness?

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7. What do you want to achieve in your business?

What do you want to achieve in your business?   Financial Freedom Set your own work schedule Eliminate Debt Spend more time with your family Enjoy a great Lifestyle - travel, home, etc Quit Your Job Personal Sense of Accomplishment

Other (please specify)

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8. If you had a successful online business, what would that get you? How would your life change, (Be as specific as possible)

If you had a successful online business, what would that get you? How would your life change, (Be as specific as possible)

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9. Have you invested in any Education, Coaching, or Courses in 2009 to help you start a business or grow your existing business?

Have you invested in any Education, Coaching, or Courses in 2009 to help you start a business or grow your existing business?

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10. Please list any questions you'd like to discuss with me when we connect and let me know the best time to call you.

Please list any questions you'd like to discuss with me when we connect and let me know the best time to call you.