What is your name?

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* 1. What is your name?

At what email address would you like to be contacted?

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* 2. At what email address would you like to be contacted?

At what phone number would you like to be contacted?

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* 3. At what phone number would you like to be contacted?

What is your Facebook URL?

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* 4. What is your Facebook URL?

What is your current business name and what products/services does it provide?

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* 5. What is your current business name and what products/services does it provide?

What do you feel is your biggest challenge in your business?  What do you want Emily's help with?

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* 6. What do you feel is your biggest challenge in your business?  What do you want Emily's help with?

Do you wish to learn how you can grow your business online?

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* 7. Do you wish to learn how you can grow your business online?

Are you willing to invest in your education and/or tools that will help you further your business?  Why or why not?

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* 8. Are you willing to invest in your education and/or tools that will help you further your business?  Why or why not?

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